Certified Professional Coder (CPC) Practice Test

For a Medicare patient receiving both an influenza and a pneumococcal vaccination, which code set is appropriate?

1. G0008, G0009

2. G0001, G0002

3. G008, G009

4. G0020, G0021

The correct answer is: G0008, G0009

The appropriate code set for a Medicare patient receiving both an influenza and a pneumococcal vaccination is indeed G0008 and G0009. G0008 is used specifically for the administration of the influenza vaccine, indicating that the patient has received this seasonal immunization. G0009 is used for the administration of pneumococcal vaccine, which is vital for protecting against pneumococcal diseases in older adults and individuals with certain health conditions. Using these codes aligns with the guidelines provided by Medicare for billing purposes, as they provide clear instructions for the documentation of vaccination services for eligible patients. These codes allow healthcare providers to accurately reflect the services provided to the patient, ensuring proper reimbursement and compliance with Medicare regulations. The other code sets listed do not correspond with the immunizations in question, which is why they are not appropriate for this situation.