#### Vaccination and Immunization

Medicare Part B always covers 3 routine immunizations:

- Pneumococcal pneumonia (PPV)
- Influenza (the flu)
- Hepatitis B (if you are at medium to high risk)

[Medicare immunizations billing](https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/qr_immun_bill.pdf)

All vaccines other than those for the flu, pneumonia or hepatitis B are covered under Medicare Part D.

Part B will cover other immunizations only if you have been exposed to a dangerous virus or disease. For example, if you step on a rusty nail, Medicare will cover a tetanus shot; if you are bitten by a dog, Medicare will cover your rabies shots.

Immunization after exposure to disease

- Hepatitis A (CPT codes 90632, 90633, 90634)
- Immune globulin subject to the requirements of L30147, Immune Globulins
- Rabies prophylaxis (CPT codes 90675, 90676)
- Tetanus and diphtheria toxoids (CPT codes 90702, 90714, 90715)

**Medicare Covered for Tetanus Vaccine**

Covered when given for an acute injury to a person who is incompletely immunized.

90702 Diphtheria and tetanus toxoids adsorbed (DT), >7 years

90714 Tetanus and diphtheria toxoids adsorbed (Td), 7 years or older

90715 Tetanus, diphtheria toxoids, and acellular pertussis vaccine (Tdap), 7 years or older

**Medicare Covered for Rabies Vaccine**

Rabies is a disease that is carried by animals and transmitted by a bite or scratch. When administering a rabies vaccine to a human who has had an encounter with an animal that is at high risk for rabies, 90675 should be billed with the appropriate ICD-10 diagnosis code for the exposure.

90675 Rabies vaccine, for intramuscular use

90676 Rabies vaccine, for intradermal use

Useful Immunization Resources

Centers for Disease Control and Prevention  
[The CDC Vaccine Price Lists](https://www.cdc.gov/vaccines/programs/vfc/awardees/vaccine-management/price-list/index.html)

The Immunization Action Coalition (IAC)  
[Influenza Vaccine Products for the 2017–2018](http://www.immunize.org/catg.d/p4072.pdf)

American Academy of Pediatrics  
[Commonly Administered Pediatric Vaccines](https://www.aap.org/en-us/Documents/coding_vaccine_coding_table.pdf)

Medicare Interactive  
[Medicare coverage of vaccines and immunizations](https://www.medicareinteractive.org/get-answers/medicare-covered-services/preventive-care-services/medicare-coverage-of-vaccines-and-immunizations)