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Vaccination (Immunization) – Medicare Advantage Policy ...

Vaccination (Immunization) Page 1 of 8 UnitedHealthcare Medicare Advantage Policy Guideline Approved 07/08/2020 Proprietary Information of UnitedHealthcare. Copyright 2020 United HealthCare Services, Inc. Vaccination (IMMUNIZATION) Guideline Number: Approval Date: July 8, 2020 Table of Contents Page Policy SUMMARY .. 1 APPLICABLE CODES .. 1 DEFINITIONS .. 5 QUESTIONS AND ANSWERS .. 6 PURPOSE .. 6 REFERENCES .. 6 GUIDELINE HISTORY/REVISION INFORMATION .. 7 TERMS AND CONDITIONS .. 8 Policy SUMMARY Overview Immunizations are generally excluded from coverage under Medicare unless they are directly related to the treatment of an injury or direct exposure to a disease or condition, such as anti-rabies treatment or tetanus antitoxin or booster vaccine.

Medicare Covered for Administration of Tetanus, Diphtheria and/or Rabies Vaccines : Administration codes for the tetanus and rabies vaccinations must also meet coverage criteria. 90460 . Immunization administration through 18 years of age via any route of administration, with counseling by

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