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:
96380 – Short descriptor: Admn rsv monoc antb im cnsl
96381 – Short descriptor: Admn rsv monoc antb im njx
Your Medicare Administrative Contractor will adjust claims you bring to their attention.