Does G0009 Need a Modifier

Medicare patient comes in for a regular office visit (99213), and is administered a Pneumovax shot (G0009). I would have to put the modifier 25 on the office visit (99213). is that what i need to do?? Yes, that is what you need to do. The modifier 25 is alway attached to the E/M code.

Can you bill G0008 and G0009 together?

Use separate administration codes for the seasonal influenza virus (G0008) and pneumococcal (G0009) vaccines. Medicare pays both administration fees if a beneficiary gets both the seasonal influenza virus and the pneumococcal vaccines on the same day.

Which vaccine is not paid for by Medicare Part B?

Key takeaways: Although the COVID-19 vaccine is front and center, vaccines for diseases such as the flu and pneumonia are critical, too. If you’re on Medicare, your coverage includes influenza (flu), pneumococcal (pneumonia), and often hepatitis B vaccines at no cost under Part B.