Billing and coding for vaccines

For providers to be successful immunizers, they must be reimbursed adequately for the services they provide. Below are resources that may assist providers seeking reimbursement of services offered to insured patients.

 

Health First Colorado (Colorado's Medicaid program) billing manuals

• Immunization benefit billing manual.
• Health First Colorado billing manual.
• Coding and billing resources from CCHAP.

 

Medicare Part B immunization billing

 

Vaccine and vaccine administration payments under Medicare Part D

 

Vaccine mapping information - CPT and ICD-10

• Commonly administered pediatric vaccines and codes.
• ICD-10 coding.

 

Insurance accepted at local public health agencies

 

Eastern region|Front range region|Mountain region|Southern region|Western region

 

  Pediatric/VFC vaccine price list

  American Academy of Family Physicians coding resource

Explains vaccine administration codes and has information for medicare and Medicaid billing.

  Frequently asked questions for the pediatric immunization administration codes