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Use of 12X Type of Bill (TOB) for Billing Vaccines and Their Administration

Currently, when vaccines are provided to hospital
inpatients, the hospital bills on a 13x TOB using the discharge date of the hospital stay.
This requirement is being changed to require hospitals to use 12x TOB for the billing of
vaccines and their administration when provided to hospital inpatients. In addition, this
instruction allows Healthcare Common Procedure Coding System G0008, G0009, and
G0010 to be reported with revenue code 771 on a 12x TOB.

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: February 11, 2005

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.