Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 10.1.3

Hepatitis B Vaccine

Last amended: 2025Year: 2025Length: 109 wordsOfficial source
10.1.3 - Hepatitis B Vaccine (Rev. 13091; Issued:02-21-25; Effective: 01-01-25; Implementation: 07-07-25) Effective for services furnished on or after September 1, 1984, the hepatitis B vaccine and its administration is covered if it is ordered by a doctor of medicine or osteopathy and is available to Medicare beneficiaries who are at high or intermediate risk of contracting hepatitis B, e.g., exposed to hepatitis B. Effective January 1, 2025, a doctor’s order will no longer be necessary for the administration of a hepatitis B vaccine under Part B. Therefore, mass immunizers can use the roster billing process to submit Medicare Part B claims for hepatitis B vaccines and their administration.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 10.1.3: Hepatitis B Vaccine | Justis AI