Long-Term Care

CMS releases billing instructions for H1N1 vaccine

MDS 3.0 Insider, September 7, 2009

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CMS recently release an MLN Matters article outlining the instructions for billing the administration of the H1N1 virus vaccine. Medicare will reimburse providers for the administration of the H1N1 vaccine at the same rate established for the administration of influenza virus vaccine, according to the MLN Matters article. Medicare will not reimburse providers for the cost of the vaccine since it will be made available at no charge.

The HCPC codes for the H1N1 vaccine are as follows:

  • G9141 – Influenza A (H1N1) immunization administration (includes the physician counseling the patient/family)
  • G9142 – Influenza A (H1N1) vaccine, any route of administration

To view the MLN Matters article about billing for the administration of the H1N1 virus vaccine, visit the Resources page on MDSCentral.



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