(includes only sites that are available at no cost – however, some may require registration)

Federal Government

CDC

• CDC Vaccine Price Lists
  (Shows the NDC code and contract number for each vaccine)
  Note: The CDC Vaccine Price Lists posted on this website provide current vaccine contract prices and lists the private sector vaccine prices for general information. Contract prices are those for CDC vaccine contracts that are established for the purchase of vaccines by immunization programs that receive CDC immunization grant funds (i.e., state health departments, certain large city immunization projects, and certain current and former U.S. territories). Private providers and private citizens cannot directly purchase vaccines through CDC contracts. Private sector prices are those reported by vaccine manufacturers annually to CDC. All questions regarding the private sector prices should be directed to the manufacturers.

CMS

• Frequently Asked Questions about Medicare coverage for vaccines
  (select “Immunizations: Seasonal Influenza, Pneumococcal, and Hepatitis B)
• Mass Immunizers and Roster Billing: Simplified Billing for Influenza and Pneumococcal Vaccinations
• Medicare Part B Immunization Billing (Seasonal Influenza Virus, Pneumococcal, and Hepatitis B)
• Medicare Preventive Services Quick Reference Chart (select appropriate vaccine)
• Seasonal Influenza Vaccines Pricing
• Vaccine and Vaccine Administration Payments Under Medicare Part D

Professional Societies

American Academy of Family Physicians (AAFP)

• Coding for Vaccine Administration
• ICD-10 Simplifies Preventive Care Coding, Sort of
• Immunizations: How to Protect Patients and the Bottom Line
• Medicare Part B Vaccine Coverage

American Academy of Pediatrics (AAP)

• AAP Advocacy Leads to Change in Coding for Vaccine Administration
• Frequently Asked Questions for the Pediatric Immunization Administration Codes
• Payment, Coding, and Billing
• Table of Commonly Administered Pediatric Vaccines
  (includes CPT codes & # of vaccine components in each vaccine)
  (3/1/2017)

American College of Obstetricians and Gynecologists (ACOG)

• Coding Resources
• Coding Webpage
• ICS-10 Training and Information
• Immunization Business and Clinical Strategies for Ob-Gyns (webinar)
• Immunization Coding for Obstetrician-Gynecologists 2016

American College of Physicians

• Billing & Coding Adult Immunizations (note: 2015)

Vaccine Manufacturers

AstraZeneca (MedImmune)

• Coding Resource

GSK

• About the Claims Process
• Codes for GSK Vaccines
• Understanding the Code Types
  (includes CPT, E&M, and ICD-10 coding information)

Merck

• Common Codes for Merck Products and Administration
• Plan Specific Information
  (filter by type of plan, product, and state)
• Zostavax Reimbursement
  (for pharmacies)

Pfizer

• Prevnar 13 (Pneumococcal 13-Valent Conjugate Vaccine) Coding Information
• Trumenba (Meningococcal Group B Vaccine) Coverage & Reimbursement

Protein Sciences

• Flublok Reimbursement Information

Sanofi Pasteur

• Cracking the Code Training
  (requires registration)
• NDC Change for Sanofi Pasteur Products
  (from 2013, last updated 6/8/2016)
• Sanofi Pasteur Vaccines
  (click on “more details” to obtain coding information on each vaccine)

Seqirus

• Billing and Coding Sheets for Afluria
• Billing and Coding for Flucelvax

Miscellaneous

Colorado Children’s Healthcare Access Program

• Vaccine Coding & Billing Guide

Physicians Practice

(entire site requires registration)

• Coding Pneumococcal Vaccination for Medicare Beneficiaries
• Correct Coding for Vaccine Administration
• Vaccine Coding for Patients 19 and Older

Priority Health

(some information is Michigan-specific)

• Vaccine & Vaccination Administration Billing
• Immunizations Under Medicare Parts B & D