Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 10.1.1
Pneumococcal Vaccine
10.1.1 - Pneumococcal Vaccine
(Rev. 3159, Issued: 12-31-14, Effective: 09-19-14, Implementation: 02-02-15)
Section 1861(s)(10)(A) of the Social Security Act and regulations at 42 CFR 410.57
authorize Medicare coverage under Part B for pneumococcal vaccine and its administration.
Medicare does not require for coverage purposes, that a doctor of medicine or osteopathy
order the pneumococcal vaccine and its administration. Therefore, the beneficiary may
receive the vaccine upon request without a physician’s order and without physician
supervision.
See Pub. 100-02, Medicare Benefit Policy Manual, chapter 15, section 50.4.4.2 for
complete coverage requirements for pneumococcal vaccine.