Preventive Services
No, providers may not bill Medicare Part B for administering Part D vaccines.
Resource: CMS MLN Medicare Part D Vaccines Fact Sheet.
Last Reviewed: 03/19/2025
No, shingles vaccines are not covered under Part B Medicare. The shingles (herpes zoster) vaccine is a preventive vaccine that can be covered by Part D Medicare. Contact the patient’s Medicare Part D plan to verify their coverage of the shingles vaccine.
Resource: CMS MLN Medicare Part D Vaccines Fact Sheet (PDF)
Last Reviewed: 03/25/2025
Yes. Railroad Medicare covers CPT® code 90714 and CPT® code 90715 for tetanus antitoxin or booster vaccines when the vaccine is directly related to the treatment of an injury or direct exposure to a disease or condition.
Routine tetanus booster shots provided in the absence of injury or direct exposure are covered by Medicare Part D.
Last Reviewed: 03/25/2025
| Preventive Immunization | HCPCS Code |
|---|---|
| Influenza Virus Vaccine | G0008 |
| Pneumococcal Vaccine | G0009 |
| Hepatitis B Vaccine | G0010 |
CPT® codes 90471 and 90472 will be denied when billed as the administration code for a preventive immunization that has been assigned a specific administration code.
For more information on billing preventive immunizations, see the CMS Medicare Preventive Services Tool.
Last Reviewed: 03/19/2025
- Hepatitis B vaccine (for patients at high or intermediate risk)
- Influenza virus vaccine
- Pneumococcal pneumonia vaccine
- COVID-19 vaccine
- Vaccines directly related to the treatment of an injury or direct exposure to a disease or condition
Resources
- CMS IOM Pub.100-02, Medicare Benefit Manual, Chapter 15, Section 50.4.4.2, Immunizations (PDF)
- Medicare Preventive Services Tool
Last Reviewed: 03/19/2025
Contact your patient’s Part D plan to find out about their coverage.
Resource: CMS MLN Medicare Part D Vaccines Fact Sheet.
Last Reviewed: 03/25/2025
Last Reviewed: 03/19/2025