A common problem that has been expressed by providers of adult vaccinations has been the intricacies and complexities associated with coding and billing for those services. Much discussion at meetings of the National Adult and Influenza Immunization Summit (“Summit”) has focused on opportunities to provide information to providers to reduce the errors and confusion associated with coding and billing for adult vaccines. The Summit’s Access and Provider Workgroup has developed this website in response to this identified need.
At this one web location, you will find the top questions identified with coding and/or billing for adult vaccinations, scenarios that detail how to go about coding and billing for adult vaccines, and collected resources from the Summit’s medical association, public health, and vaccine manufacturing partners.
Information Sections
Top Questions on Coding and Billing for Vaccinations: Avoiding Common Errors
The Summit Provider and Access Workgroup surveyed partners and compiled the top questions associated with coding and billing for adult vaccines. Guidance was developed for each of these questions.
Scenarios: Straightforward Guidance for Dealing with Common Problems Encountered When Billing for Adult Vaccines
Some very common errors are encountered by providers when billing for adult vaccines. These scenarios work through common problems and provide guidance to avoid coding errors.
The following scenarios are currently available:
- Filling out the CMS 1500 Form
- Billing for Influenza and Pneumococcal Vaccines
- Using Modifier 25
- Using the NDC
- Billing for Vaccine Counseling
Resources
Check here to see available resources on addressing coding and billing challenges associated with adult vaccinations. The Summit has collected this information from its medical association, public health, and vaccine manufacturing partners.