Vaccines Furnished to ESRD Patients

60.6 - Vaccines Furnished to ESRD Patients (Rev. 10640, Issued:08-06-21, Effective:09-07-2021, Implementation:09-07-2021) The Medicare program covers hepatitis B, influenza virus and Pneumococcal pneumonia virus (PPV) vaccines and their administration when furnished to eligible beneficiaries in accordance with coverage rules. Payment may be made for both the vaccine and the administration. The costs associated with the syringe and supplies are included in the administration fee: HCPCS code A4657 should not be billed for these vaccines. Vaccines and their administration are reported using separate codes. See Chapter 18 of this manual for the payment and codes required for billing vaccines and the administration of the vaccine. Vaccines remain separately payable under the ESRD PPS.