Please see the attached instructional guide for steps to set up and bill for flu/PPV shots in Barnestorm.
** The Home Health Agency is responsible for making sure the correct Revenue code and HCPCS is put in the Barnestorm system for the Flu Shot and the Flu Shot administration. Here are common examples:
Medicare Part B provides preventive coverage only for certain vaccines. These include:
- Influenza: once per flu season (codes 90630, 90653, 90656, 90662, 90673-74, 90682, 90685-88, 90756, Q2035, Q2037, Q2039)
- Pneumococcal: (codes 90670, 90732, once per lifetime with high-risk booster after 5 years)
Administration services for these preventive vaccines are reported to Medicare using HCPCS codes as follows:
- G0008 administration of influenza virus vaccine
- G0009 administration of pneumococcal vaccine
** Home health agencies can provide the influenza virus vaccine and pneumococcal pneumonia vaccination (PPV) and they are billed on a 341 type of bill (home health outpatient Part B benefit).
** Hospice agencies can provide the influenza virus and pneumococcal vaccinations to beneficiaries who request them, including those who have elected the hospice benefit. These services may be covered when furnished by the hospice agency for dates of service on or after October 1, 2016. Vaccinations provided by a hospice agency may be billed on an institutional claim to the Medicare contractor. Since these services are not part of the Medicare hospice benefit, they must be billed on a separate claim and must only include charges for the vaccine and their administration.