M0201 HCPCS - ADMINISTRATION OF PNEUMOCOCCAL, INFLUENZA, HEPATITIS B, AND/OR COVID-19 VACCINE INSIDE A PATIENT'S HOME; REPORTED ONLY ONCE PER INDIVIDUAL HOME PER DATE OF SERVICE WHEN SUCH VACCINE ADMINISTRATION(S) ARE PERFORMED AT THE PATIENT'S HOME

Code Information

  • HCPCS Code: M0201
  • Sequence Number: 0010
  • Short Description: Pne flu hepb cov home admin
  • Long Description: Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home
  • Date Added: 6/8/2021
  • Action Code: N - No maintenance for this code
  • Action Effective Date: 1/1/2024
  • Classification: Medical Services
  • Coding System: HCPCS

Code Type

  • Berenson-Eggers Type Of Service Code: O1G - Immunizations/Vaccinations
  • Type Of Service Code:
    • V - Pneumococcal/flu vaccine (eff 01/96), Pneumococcal/flu/hepatitis B vaccine (eff 04/95-12/95), Pneumococcal only before 04/95

Billing Information

  • Pricing Indicator Code:
    • 54 - Vaccinations
  • Multiple Pricing Indicator Code: A - Not applicable as HCPCS priced under one methodology
  • Coverage Issues Manual Reference Section Number:
      N/A
    • Medicare Carriers Manual Reference Section Number:
        N/A
      • Coverage Code: C - Carrier judgment

      HCPCS Record

      Field Name Field Value
      Healthcare Common Procedure Coding System Code M0201
      HCPCS Sequence Number 0010
      HCPCS Record Identification Code 3 - First line of procedure record also contains detail information in positions 92-275
      HCPCS Long Description Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home
      HCPCS Short Description Pne flu hepb cov home admin
      HCPCS Pricing Indicator Code 1 54 - Vaccinations
      HCPCS Multiple Pricing Indicator Code A - Not applicable as HCPCS priced under one methodology
      HCPCS Coverage Code C - Carrier judgment
      HCPCS Berenson-Eggers Type Of Service Code O1G - Immunizations/Vaccinations
      HCPCS Type Of Service Code 1 V - Pneumococcal/flu vaccine (eff 01/96), Pneumococcal/flu/hepatitis B vaccine (eff 04/95-12/95), Pneumococcal only before 04/95
      HCPCS Anesthesia Base Unit Quantity 0
      HCPCS Code Added Date 6/8/2021
      HCPCS Action Effective Date 1/1/2024
      HCPCS Action Code N - No maintenance for this code

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      This page was last updated on: 7/1/2024