99211 with Tdap?

For medicare patients are we allowed to charge a 99211 with Tdap? Now that we have the patients pay for their shot and try to get reimbursed themselves. Can we charge a 99211 to Medicare for the shot or can we use 90471 or something else to bill Medicare for administration of the shot? Thanks Terry

nope

Medicare will not pay for the admin or the vaccine, (and tdap is not indicated for 65 and over). Using a 99211 is not allowed- there was no nurse activity beyond the admin of the vaccine. You should have them sign an ABN (just to cover yourself) and charge them.

Tdap and nurse visit

Bill only for the injection and the medication (if you bought it).

A nurse visit is not medically necessary or separately reimbursed.