Vaccine Administration Codes Reimbursement Update
Effective Aug. 1, 2022, vaccine administration codes 90471, 90472, and 90474 will no longer be reimbursed at an Off Campus-Outpatient Hospital (POS 19) or an On Campus – Outpatient Hospital (POS 22) place of service.
According to CMS, place of service 19 and place of service 22 indicate that a service was performed in a hospital-owned facility, therefore physicians cannot be reimbursed for services that are provided by staff of a hospital/facility. In order for a physician to bill Medicaid for a service, that service must represent a cost to the physician.
NC Medicaid Contact Center, 888-245-0179