Leslie, I've had the same issue with Medicare not covering tetanus for routine immunizations. I checked Medicare.gov and they only list Pneumovax, hep B, and influenza as covered routine immunizations.
Has anyone been getting denials for Pneumovax immunizations? I'm just curious since patients may get it at the hospital if they are hospitalized and I likely will not know this or the patient will not remember this. They then come in for their Wellness Visit and we give them the Pneumovax (since I'm assuming they've never had it) and then Medicare likely will not pay this. Just wondering if anyone has had this happen.
