Medicare Physician Fee Schedule: New CPT Codes for RSV Vaccine Administration 

Please Read Carefully

If your patient doesn’t have Medicare Part D, Medicare will pay for vaccine administration.

but not the vaccine under Part B.

CMS retroactively added 2 new CPT codes for respiratory syncytial virus (RSV) vaccine administration to the Medicare Physician Fee Schedule effective for dates of service on and after October 6, 2023:

  1. 96380 – Short descriptor: Admn rsv monoc antb im cnsl
  2. 96381 – Short descriptor: Admn rsv monoc antb im njx

Your Medicare Administrative Contractor will adjust claims you bring to their attention.

Author: Seymore Bones

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