Ppsv23 vacc 2 yrs+ subq/im
Products billed under this code include Pneumovax 23.
Payment limit per 0.5 ML, by effective quarter, 1Q21 to 4Q26. Gaps mean the code was not in that quarter’s file, or CMS gave no payment limit.Products billed under 90732
From the 4Q26 NDC–HCPCS crosswalk. “Limit / pkg” is the 4Q26 payment limit times the billing units in one package.
| Product | Labeler | NDC | Units / pkg | Limit / pkg |
|---|---|---|---|---|
| Pneumovax 23 | Merck | 00006-4739-00 | 5 | $667.36 |
| Pneumovax 23 | Merck | 00006-4837-02 | 1 | $133.472 |
| Pneumovax 23 | Merck | 00006-4837-03 | 10 | $1,334.72 |
| Pneumovax 23 | Merck | 00006-4943-00 | 10 | $1,334.72 |
| Pneumovax 23 | A-S MEDICATION SOLUTIONS LLC | 50090-7036-00 | 10 | $1,334.72 |
Every quarter
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q26 | $133.472 | $0.00 | 0.5 ML | Ppsv23 vacc 2 yrs+ subq/im | v1, posted September 17, 2026 |
| 3Q26 | $133.472 | $0.00 | 0.5 ML | Ppsv23 vacc 2 yrs+ subq/im | v1, posted September 15, 2026 |
| 2Q26 | $133.472 | $0.00 | 0.5 ML | Ppsv23 vacc 2 yrs+ subq/im | v1, posted September 15, 2026 |
| 1Q26 | $133.472 | $0.00 | 0.5 ML | Ppsv23 vacc 2 yrs+ subq/im | v1, posted September 15, 2026 |
| 4Q25 | $133.472 | $0.00 | 0.5 ML | Ppsv23 vacc 2 yrs+ subq/im | v1, posted September 8, 2026 |
| 3Q25 | $133.472 | $0.00 | 0.5 ML | Ppsv23 vacc 2 yrs+ subq/im | v1, posted March 10, 2026 |
| 2Q25 | $133.472 | $0.00 | 0.5 ML | Ppsv23 vacc 2 yrs+ subq/im | v1, posted March 10, 2026 |
| 1Q25 | $133.472 | $0.00 | 0.5 ML | Ppsv23 vacc 2 yrs+ subq/im | v1, posted December 19, 2025 |
| 4Q24 | $133.472 | $0.00 | 0.5 ML | Ppsv23 vacc 2 yrs+ subq/im | v1, posted June 11, 2025 |
| 3Q24 | $133.472 | $0.00 | 0.5 ML | Ppsv23 vacc 2 yrs+ subq/im | v1, posted June 11, 2025 |
| 2Q24 | $133.472 | $0.00 | 0.5 ML | Ppsv23 vacc 2 yrs+ subq/im | v1, posted March 11, 2025 |
| 1Q24 | $133.472 | $0.00 | 0.5 ML | Ppsv23 vacc 2 yrs+ subq/im | v1, posted December 19, 2024 |
| 4Q23 | $133.472 | $0.00 | 0.5 ML | Ppsv23 vacc 2 yrs+ subq/im | v1, posted October 10, 2024 |
| 3Q23 | $133.472 | $0.00 | 0.5 ML | Ppsv23 vacc 2 yrs+ subq/im | v1, posted June 5, 2024 |
| 2Q23 | $133.472 | $0.00 | 0.5 ML | Ppsv23 vacc 2 yrs+ subq/im | v1, posted February 23, 2024 |
| 1Q23 | $133.472 | $0.00 | 0.5 ML | Ppsv23 vacc 2 yrs+ subq/im | v1, posted December 6, 2023 |
| 4Q22 | $133.472 | $0.00 | 0.5 ML | Ppsv23 vacc 2 yrs+ subq/im | v1, posted June 22, 2023 |
| 3Q22 | $133.472 | $0.00 | 0.5 ML | Ppsv23 vacc 2 yrs+ subq/im | v1, posted June 9, 2023 |
| 2Q22 | $133.472 | $0.00 | 0.5 ML | Ppsv23 vacc 2 yrs+ subq/im | v1, posted December 14, 2022 |
| 1Q22 | $133.472 | +$7.554 | 0.5 ML | Ppsv23 vacc 2 yrs+ subq/im | v1, posted June 8, 2022 |
| 4Q21 | $125.918 | $0.00 | 0.5 ML | Ppsv23 vacc 2 yrs+ subq/im | v1, posted June 2, 2022 |
| 3Q21 | $125.918 | $0.00 | 0.5 ML | Ppsv23 vacc 2 yrs+ subq/im | v1, posted June 2, 2022 |
| 2Q21 | $125.918 | +$5.997 | 0.5 ML | Ppsv23 vacc 2 yrs+ subq/im | v1, posted March 1, 2022 |
| 1Q21 | $119.921 | – | 0.5 ML | Ppsv23 vacc 2 yrs+ subq/im | v1, posted December 10, 2021 |
“Change” is the difference from the previous quarter, shown only when both quarters have a payment limit and the billing unit is the same. “vs. last quarter” and “vs. a year ago” follow the same rule.
CMS source files
- 4Q26: 2026-09-17_october-2026-medicare-part-b-payment-limit-files-final.zipposted September 17, 2026
- 4Q26: 2026-09-17_october-2026-ndc-hcpcs-crosswalk-final.zipposted September 17, 2026
- 3Q26: 2026-09-15_july-2026-medicare-part-b-payment-limit-files.zipposted September 15, 2026
- 2Q26: 2026-09-15_april-2026-medicare-part-b-payment-limit-files-final-file.zipposted September 15, 2026
- 1Q26: 2026-09-15_january-2026-medicare-part-b-payment-limit-files.zipposted September 15, 2026
- 4Q25: 2026-09-08_october-2025-asp-pricing-final-file.zipposted September 8, 2026
- 3Q25: 2026-03-10_july-2025-asp-pricing-file.zipposted March 10, 2026
- 2Q25: 2026-03-10_april-2025-asp-pricing-file.zipposted March 10, 2026
- 1Q25: 2025-12-19_january-2025-asp-pricing-file-03-11-25-final-file.zipposted December 19, 2025
- 4Q24: 2025-06-11_october-2024-asp-pricing-file.zipposted June 11, 2025
- 3Q24: 2025-06-11_july-2024-asp-pricing-file.zipposted June 11, 2025
- 2Q24: 2025-03-11_april-2024-asp-pricing-file.zipposted March 11, 2025
- 1Q24: 2024-12-19_january-2024-asp-pricing-file.zipposted December 19, 2024
- 4Q23: 2024-10-10_october-2023-asp-pricing-file.zipposted October 10, 2024
- 3Q23: 2024-06-05_july-2023-asp-pricing-file.zipposted June 5, 2024
- 2Q23: 2024-02-23_april-2023-asp-pricing-file.zipposted February 23, 2024
- 1Q23: 2023-12-06_january-2023-asp-pricing-file.zipposted December 6, 2023
- 4Q22: 2023-06-22_october-2022-asp-pricing-file.zipposted June 22, 2023
- 3Q22: 2023-06-09_july-2022-asp-pricing-file.zipposted June 9, 2023
- 2Q22: 2022-12-14_april-2022-asp-pricing-file.zipposted December 14, 2022
- 1Q22: 2022-06-08_january-2022-asp-pricing-file.zipposted June 8, 2022
- 4Q21: 2022-06-02_october-2021-asp-pricing-file.zipposted June 2, 2022
- 3Q21: 2022-06-02_july-2021-asp-pricing-file.zipposted June 2, 2022
- 2Q21: 2022-03-01_april-2021-asp-pricing-file.zipposted March 1, 2022
- 1Q21: 2021-12-10_january-2021-asp-pricing-file.zipposted December 10, 2021