Billing and Coding: Immunizations

This billing and coding policy (A56900) does not establish clinical coverage criteria itself; instead, coding and billing for immunizations are governed by the associated LCD L34596 (Immunizations). Providers must consult LCD L34596 for specific indications, limitations, documentation requirements, and frequency limits that determine coverage and reimbursement.

"Billing and coding for immunizations must follow the coverage indications, limitations, and medical necessity criteria set forth in the associated Local Coverage Determination LCD L34596 (Immunizat..."

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