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Pneumococcal Vaccination Reimbursement Tip Sheet

This initiative is supported by unrestricted educational grants from Merck & Co., Inc. and Pfizer Inc. NFID policies restrict funders from controlling program content. Page 1 July 2015 Pneumococcal Vaccination Reimbursement Tip Sheet Improperly coded bills can impact proper and timely payments. Use this document for easy reference. Pneumococcal conjugate (PCV13, Prevnar ) and polysaccharide (PPSV23, Pneumovax ) vaccines may both be indicated but they cannot be given at the same visit. See page 2 for recommended dosing schedule. 1 Use the correct administration codei G0009 Administration of Pneumococcal vaccine CDC recommends co-administering Pneumococcal and seasonal influenza vaccine during the same visit to minimize missed opportunities.

*For a complete list of codes for underlying conditions, refer to the ICD-9 codes at www.cms.gov. NFID will provide updated guidance when ICD-9 codes transition to ICD-10 codes (anticipated date: October 1, 2015). iAmerican Medical Association. Current Procedural Terminology, 2014.

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