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December 2016 Texas Medicaid Provider Procedures Manual

Women’s Health Services Handbook : 3 Health and Human Services Commission (HHSC) Family Planning Program Services : 3.2 Services, Benefits, Limitations, and Prior Authorization : 3.2.4 Immunization Administration : Human Papilloma Virus (HPV) Vaccine
Procedure codes 90649 and 90650 may be reimbursed for the Human papilloma virus (HPV) vaccine.

Texas Medicaid & Healthcare Partnership
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