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Roster Billing for Mass Influenza and Pneumococcal Pneumonia Vaccines

Medicare Claims Processing Manual (CMS Pub. 100-04, Ch.18) Globe to indicate www link.

Roster billing is a quick and convenient way to bill for flu and pneumonia vaccinations.  To submit a roster bill, you must have given the same type of vaccination to five or more people on the same date of service.  Each type of vaccination must be billed on a separate roster bill.  You cannot have pneumococcal pneumonia vaccines (PPVs) and flu vaccines on the same roster bill. 
To submit a roster bill via direct data entry (DDE), use the Fiscal Intermediary Standard System (FISS) ‘Roster Bill Entry’ Option 87 from the Claims Entry Menu.  For additional information about submitting influenza and PPV using FISS, refer to the Claims and Attachments section of the FISS Reference Guide. 

The following provides coding information when roster billing flu and pneumonia vaccines.

 

Influenza Virus

PPV

Type of Bill (TOB

34—Home health outpatient (Part B) (only key the first 2 digits of the type of bill)

NPI

Agency’s National Provider Identifier (NPI) number

Revenue Code

0636 for the vaccine
0771 for the administration

HCPCS

G0008—administration
90657—split virus, 6-35 months dosage, for intramuscular or jet injection use;
90658—split virus, 3 years and above dosage, for intramuscular or jet injection use
90660—Use on claims when billing for influenza virus vaccine, live, for intranasal use.

G0009—administration
90732—pneumococcal polysaccharide vaccine, 23-valent, adult dosage, for subcutaneous or intramuscular use.

In addition to the above information, you will need to enter the following information for each beneficiary.

  • Date of service
  • Health Insurance Claim Number (HICN)
  • Beneficiary’s name (first and last)
  • Beneficiary’s date of birth
  • Beneficiary’s sex (gender

Page last updated: May 13, 2010

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