Welcome to GSK Vaccines in Your Practice. GSK is pleased to provide this resource to you and your staff. Its purpose is to provide some of the basic background information you will need for the proper coding and reporting of certain GSK vaccine products.
Background information about
coding and completing a claim form
Coding information for GSK
pediatric, adolescent, and adult vaccines
The ICD-9-CM code set used to report medical diagnoses was replaced by ICD-10-CM code set on October 1, 2015. The change to ICD-10 will affect everyone covered by the Health Insurance Portability Accountability Act (HIPAA), not just those who submit Medicare or Medicaid claims. Claims for services provided on or after the compliance date should be submitted with ICD-10 diagnosis codes. The change to ICD-10 does not affect CPT coding for outpatient procedures and physician services.
This information is limited in scope. It is not a comprehensive guide to reimbursement and billing. Your office must already possess, or must obtain, a strong foundation and understanding of the requirements which will vary between different payers. This may include knowledge of payer-specific procedures and protocols, staff training and refresher training to stay current with changes, as well as a compliance program for your office. This site is not intended to direct the use of specific vaccine products for individual patients. Only a trained medical professional using professional judgment and clinical skills can make the informed decision on when to administer a specific vaccine to a particular patient.
We hope you find this site easy to use and follow as a starting point and an informative resource in your practice. For specific questions related to any of the GSK vaccine products identified on this site, please refer to the full Prescribing Information for the product.
684401R0 July 2016
Please note that this website is provided for informational purposes only and is not intended to serve as comprehensive training on medical billing and coding. Additional training on medical coding may be required. The information on this website is believed to be accurate as of the date of publication. Users should independently verify accuracy.
Healthcare providers are responsible for making the ultimate decision on when to use a specific product based on clinical recommendations and how to bill for products and related services rendered. Consult third-party insurers' guidelines for specific information regarding the billing and reporting of services rendered.