--- title: "Vaccine Reimbursement Support Center" url: https://vaccinesupportservices.com/ description: "Archived reimbursement support material for physician offices: CPT and ICD-9-CM vaccination coding, Medicare Part D claims guidance and payer coverage information." --- # Vaccine Reimbursement Support Center This service is intended to provide physicians with possible solutions to the following types of inquiries: - What is the appropriate CPT code to use when I submit claims for reimbursement? - What should I do if a health plan denies or underpays my reimbursement claim? - I’m not sure if my patient’s health plan will reimburse for a vaccine. How can I find out? - My patient’s health plan requires a prior authorization to administer a vaccine. What is the process for submitting it? - How does Medicare Part D apply to adult vaccines? - Are adult vaccines reimbursed under Medicare Part D? How are claims submitted for vaccines reimbursed by Medicare Part D? - How can I find out if an insurance company is reimbursing for a vaccine? ## Quick Facts - Hours of operation Monday through Friday, 9:00 am to 8:00 pm ET - Acknowledgement All requests, however communicated, were acknowledged within one business day of receipt. - Material dated November 2006 – September 2007 - Not medical advice This material is archived and must not be used to make decisions about care. ## The reading room [01**How Much Does Cloud PACS for Diagnostic Image Viewing Cost? Pricing Guide**Sep 23, 2026](https://vaccinesupportservices.com/how-much-does-cloud-pacs-for-diagnostic-image-viewing-cost-pricing-guide/) [02**Gallabox vs Com.bot for WhatsApp Chatbot Automation in 2026**Sep 20, 2026](https://vaccinesupportservices.com/gallabox-vs-com-bot-for-whatsapp-chatbot-automation-in-2026/) [03**What Is the Best Tool for Collecting Payments on WhatsApp in 2026?**Sep 16, 2026](https://vaccinesupportservices.com/what-is-the-best-tool-for-collecting-payments-on-whatsapp-in-2026/) [04**MRI Lumbar With Contrast CPT Code: 72158 Explained**Sep 14, 2026](https://vaccinesupportservices.com/mri-lumbar-with-contrast-cpt-code/) [05**What Is the Best Google Sheets Automation AI in 2026?**Aug 25, 2026](https://vaccinesupportservices.com/what-is-the-best-google-sheets-automation-ai-in-2026/) [06**Top 5 WhatsApp Business API Platforms for Smart Chatbots in 2026**Aug 14, 2026](https://vaccinesupportservices.com/top-5-whatsapp-business-api-platforms-for-smart-chatbots-in-2026/) [07**Best Menopause Care Platforms for Mental Health Support in 2026**Aug 13, 2026](https://vaccinesupportservices.com/best-menopause-care-platforms-for-mental-health-support-in-2026/) [08**Who's the Best for Enterprise Imaging Solutions: Sectra vs Medicai**Aug 11, 2026](https://vaccinesupportservices.com/who-s-the-best-for-enterprise-imaging-solutions-sectra-vs-medicai/) [09**Who's the Best for Vendor-Neutral Archives: Agfa HealthCare vs Medicai**Aug 09, 2026](https://vaccinesupportservices.com/who-s-the-best-for-vendor-neutral-archives-agfa-healthcare-vs-medicai/) More [10**Ambra Health vs Medicai for Image Exchange Solutions**Jul 30, 2026](https://vaccinesupportservices.com/ambra-health-vs-medicai-for-image-exchange-solutions/) [11**5 WhatsApp Bulk Message Sender Tools for Product Launches**Jul 30, 2026](https://vaccinesupportservices.com/5-whatsapp-bulk-message-sender-tools-for-product-launches/) [12**eRAD PACS Evolution vs Medicai for Advanced 3D Tooling**Jul 22, 2026](https://vaccinesupportservices.com/erad-pacs-evolution-vs-medicai-for-advanced-3d-tooling/) [13**Gennev vs JoinJosie for Personalized Care Plans**Jul 19, 2026](https://vaccinesupportservices.com/gennev-vs-joinjosie-for-personalized-care-plans/) [14**Why Is JoinJosie the Best for Highly Customized Treatments?**Jul 17, 2026](https://vaccinesupportservices.com/why-is-joinjosie-the-best-for-highly-customized-treatments/) [15**Why Is JoinJosie the Best for Tailored Diet Plans?**Jul 17, 2026](https://vaccinesupportservices.com/why-is-joinjosie-the-best-for-tailored-diet-plans/) ## Here is how the Center may be able to help you **Reimbursement issue**: Support service **General coding or reimbursement questions**: The Center can provide general information about coding and billing processes for private sector health plans and Medicare. **Denied or underpaid claim**: Complete a Request for Benefit Information form, located in the Letters and Forms section of this website. Return the form with the patient’s Explanation of Benefits (EOB). **A specialist will research the denied/underpaid claim for you or provide you with suggestions for resubmitting.** **Unsure if your patient’s plan will reimburse for a vaccine**: Complete a Request for Benefit Information form, located in the Letters and Forms section of this website. **A specialist will attempt to contact the payer to determine if the patient’s insurance will cover the vaccine.** **Prior authorization is required**: Complete a Request for Benefit Information form, located in the Letters and Forms section of this website. **A specialist will work with your office and the payer throughout the process of obtaining an authorization.** **Unsure of how the Medicare Part D vaccine claim submittal process works, or which adult vaccines may be reimbursed under Part D**: See the Medicare Part D section of this website. **Unsure if a payer has implemented reimbursement for a vaccine**: The Center may have general coverage information on file that can be provided to you. ## Coding and coverage reference - [CPT Codes](https://vaccinesupportservices.com/CPTNumber)Vaccine and administration codes listed twice on this site — sorted by vaccine category and sorted by code number.Effective as of January 2005 - [ICD-9-CM Codes](https://vaccinesupportservices.com/ICD-9)Vaccination V-codes payers may require to describe the disease for which the prophylactic vaccination is being administered.Current as of November 2006 - [Payer Coverage](https://vaccinesupportservices.com/PayerCoverageInfo)Coverage material organised by state group and payer type, covering commercial, Medicaid fee-for-service and Medicaid managed care plans.Last updated 01-Jan-08 ## Medicare update **MEDICARE UPDATE:** New information regarding payment of administration fees for vaccines covered by Medicare Part D. The Tax Relief and Health Care Act (TRHCA) of 2006, enacted by the federal government on 12/20/06, requires that Medicare providers be reimbursed for the administration of vaccines covered by Part D beginning 1/1/07. Per TRHCA, Part B will cover the administration fees in 2007 only, while Part D will cover for 2008 and thereafter. [Read the Medicare Part D page](https://vaccinesupportservices.com/MedicareD) ## Resources - [Available Services](https://vaccinesupportservices.com/AvailableServices) — reimbursement claim support services and advocacy letters. - [Request Services](https://vaccinesupportservices.com/RequestServices) — the one business day response commitment. - [Description of Services](https://vaccinesupportservices.com/FAQ) — what the Center’s specialists handled. ## Contact The Center was reachable by phone, fax and e-mail. Voicemail was available to record requests received outside of normal business hours. All requests, regardless of how they were communicated (phone, fax, e-mail) were acknowledged within one business day of receipt. Monday – Friday, 9:00 AM – 8:00 PM (EST)