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

MLN Matters Number: MM11335
Related CR Release Date: October 11, 2019
Related CR Transmittal Number: R2372OTN
Related Change Request (CR) Number: 11335
Effective Date: April 1, 2020
Implementation Date: April 6, 2020

CR 11335 instructs Medicare's Common Working File (CWF) to send the Date of Service (DOS) for both Pneumococcal Pneumonia Vaccination (PPV) Health Care Procedure Code System (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 Oct 14, 2019