HealthCare News

Inpatient Vaccinations

Issue: #383 OCT2015

Topic: Coding/Billing

Blue Cross Blue Shield of North Dakota (BCBSND) will pay outside of the Diagnosis Related Group (DRG) for vaccinations, such as flu and pneumonia, that are given to a member when they are an inpatient in an acute facility. To qualify for payment, the vaccine that is provided must be a covered benefit under the member’s health plan.

When submitting a claim, providers should use the CMS-1500 claim form, with a Place of Service (POS) of 21.