US · guidance
CMS Pub. 100-04, ch. 19, § 80.4.1
A/B MAC (B) - Vaccines and Vaccine Administration -
Coverage Policy
(Rev. 1040, Issued: 08-25-06, Effective: 09-11-06, Implementation: 09-11-06)
Pneumococcal Pneumonia Vaccinations
The Medicare Part B program covers PPV and its administration when furnished in
compliance with any applicable State law by any provider of services or any entity or
individual with a supplier number. This includes revaccination of patients at highest risk
of pneumococcal infection. Typically, these vaccines are administered once in a lifetime
except for persons at highest risk. See Chapter 18 of Pub. 100-04, Medicare Claims
Processing Manual for more information on this benefit.
Hepatitis B Vaccine
The Medicare Part B program provides coverage of hepatitis B vaccine and its
administration, furnished to a Medicare beneficiary who is at high or intermediate risk of
contracting hepatitis B. See Chapter 18 of Pub. 100-04, Medicare Claims Processing
Manual for more information on this benefit.
Influenza Virus Vaccine
The Medicare Part B program covers influenza virus vaccine and its administration when
furnished in compliance with any applicable State law by any provider of services or any
entity or individual with a supplier number. Typically, these vaccines are administered
once a year in the fall or winter. Medicare does not require, for coverage purposes, that a
doctor of medicine or osteopathy order the vaccine. Therefore, the beneficiary may
receive the vaccine upon request without a physician’s order and without physician
supervision. See Chapter 18 of Pub. 100-04, Medicare Claims Processing Manual for
more information on this benefit.
History
(Rev. 1040, Issued: 08-25-06, Effective: 09-11-06, Implementation: 09-11-06)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
66a921bbeccbd273d8681a1627c4dafad8b321d4c9e13660578e2e532094eeb9
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