Date
On August 31, 2014, Current Procedural Terminology (CPT) code 90655 SL, Influenza virus vaccine, was made non-covered by MO HealthNet Division (MHD).
The Department of Health and Senior Services, (DHSS) is offering an additional vaccine to providers enrolled in the Vaccines for Children (VFC) Program.
MHD reimbursement for the administration of the additional vaccine is effective for dates of service September 12, 2014, and after. The additional vaccine provided through the VFC program is as shown below:
- Influenza virus vaccines, quadrivalent, split virus, when administered to individuals 3 years of age and older, for intramuscular use. The administration procedure code is CPT 90688 SL. MHD reimbursement for the administration of this vaccine is $5.00.
- Influenza virus vaccines, quadrivalent, split virus, preservative free, when administered to children 6 months of age to 35 months of age, for intramuscular use. The administration procedure code is CPT 90685 SL. The reimbursement for vaccine is $5.00.
Please reference the Provider Bulletin Physician Bulletin Vaccines For Children, dated November 18, 2014, for further details. Please reference the Fee Schedule for the allowable reimbursement for services for CPT codes.