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Influenza Vaccine Procedure Code 90661 a Benefit for HTW Effective March 1, 2025

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Effective for dates of service on or after March 1, 2025, influenza vaccine procedure code 90661 is a benefit of the Healthy Texas Women (HTW) program.

Procedure code 90661 may be reimbursed for the following provider types and places of service:

Place of ServiceProvider Type
OfficePhysician, Assistant, Nurse Practitioner, Clinical Nurse Specialist, Pharmacist, Family Planning Clinic, Nephrology (Hemodialysis, Renal Dialysis), Local Health Department
HomePhysician, Physician Assistant, Nurse Practitioner, Clinical Nurse Specialist, Comprehensive Care Program (CCP)
Outpatient HospitalHospital, Family Planning Clinic, Nephrology (Hemodialysis, Renal Dialysis), Renal Dialysis Facility
Other LocationsPhysician, Physician Assistant, Nurse Practitioner, Clinical Nurse Specialist, CCP Provider

Administration for procedure code 90661 may be reimbursed when billed with corresponding vaccine administration procedure codes 90460, 90471, or 90472.

Claims Reprocessing

Affected claims with dates of service on or after March 1, 2025, will be reprocessed, and providers may receive additional reimbursement, which will be reflected on future Remittance and Status (R&S) Reports.

For more information, call the TMHP Contact Center at 800-925-9126.