US · guidance
CMS Pub. 100-04, ch. 19, § 100.10.1
A/B MAC (A) - Vaccines and Vaccine Administration -
Claims Processing
(Rev. 1325; Issued: 08-29-07; Effective: 01-01-08; Implementation: 01-07-08)
These vaccines are reported on TOB 12X, 13X, 83X, or 85X along with the appropriate
revenue codes and HCPCS codes as found in billing instructions in Chapter 18, §10.2 of
Pub. 100-04, Medicare Claims Processing Manual.
No clinic visit shall be billed if vaccine and its administration are the only service
received. Vaccines and their administration may be billed with or without a clinic visit.
The MSN is suppressed.
NOTE: Effective for dates of service on or after January 1, 2008, the A/B MAC (A) no
longer processes claims for IHS ASCs (TOB 83X). All IHS ASC providers must submit
their claims to the A/B MAC (B).
History
(Rev. 1325; Issued: 08-29-07; Effective: 01-01-08; Implementation: 01-07-08)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
485bae1cb5278a4612c5c03309318929e31bca16c0aa09b6beee6129ccdd6b4b
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