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Pneumococcal Vaccine and Administration


  • 90670 – Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use
  • 90732 – Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use
  • G0009 – Pneumococcal Administration

ICD-10 Codes

The specified below ICD codes are covered for CPT G0102 and G0103 but may not be limited and some private payers having specific guidelines.
  • Z23  Encounter for immunization
  • Z71.84 Encounter for health counseling related to travel

Who Is Covered

  • All Medicare beneficiaries

Fee Value and MUE Edits

      CPT         Dosage   Fee    MUE
      90670 0.5 ml $241.383      1
      90732 0.5 ml $125.918     1


  • An initial pneumococcal vaccine to Medicare beneficiaries who never received the vaccine under Medicare Part B
  • A different, second pneumococcal vaccine 1 year after the first vaccine was administered

Medicare Beneficiary Pays

  • Co-payment/coinsurance waived
  • Deductible waived

ICD 10 CM Updates

Guidelines for billing CPT G2211

About CPT G2211 & Objectives Effective from January 1, 2024, the Centers for Medicare and Medicaid Services (CMS) began reimbursing for ...