Article Detail - JE Part B

Related CR Release Date: February 21, 2025
MLN Matters Number: MM13937 Revised
Effective Date: January 1, 2025
Related Change Request (CR) Number: CR 13937
Implementation Date: July 7, 2025
Related CR Transmittal Number: R13091CP

Note: CMS revised this Article to add a paragraph pertaining to when mass immunizers may bill for hepatitis B claims using Place of Service code 60 (Mass Immunization Centers) and specialty code 73 (Roster Billers). CMS made no other changes to this Article. You’ll find substantive content updates in dark red (page 2).

CR 13937 tells you about:

• Expanded coverage for more Medicare patients to receive the hepatitis B vaccine
• Medicare patients no longer need a doctor’s order for the administration of the hepatitis B vaccine
• Mass immunizers can use the roster billing process to submit Medicare Part B claims for hepatitis B vaccines and their administration

Make sure your billing staff knows about these changes.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)13937.