Add DOS for PPV HCPCS Codes (90670, 90732), and Remove Next Eligible Dates for PPV HCPCS - Revised

MLN Matters Number: MM11335 Revised
Related CR Release Date: January 22, 2020
Related CR Transmittal Number: R2422OTN
Related Change Request (CR) Number: 11335
Effective Date: April 1, 2020
Implementation Date: April 6, 2020

Note: CMS revised this article on January 23, 2020, due to an updated CR 11335 that deleted references to certain inquiry screens. In the article, CMS changed the CR release date, transmittal number and link to the transmittal. All other information remains the same.

CR 11335 instructs Medicare's Common Working File (CWF) to send the Date of Service (DOS) for both PPV HCPCS codes (90670 and 90732) to the Medicare Beneficiary Database (MBD). This will allow other systems to know whether the DOS was for the initial vaccine or the second vaccine. Once the CR is implemented, providers will receive more detail in reply to eligibility transactions on whether their beneficiaries have received one or both PPV vaccines.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)11335.

Last Updated Jan 27, 2020