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Update to 2009 HCPCS Immunization Procedure Codes and Components
Information posted May 8, 2009: This is an update to an article that was published in the January 2009 HCPCS Special Bulletin, No. 221, titled “Immunizations (Vaccine/Toxoids)” for Texas Medicaid and “Vaccine/Toxoids” for Children with Special Health Care Needs (CSHCN). The articles list procedure codes 90681 and 90696 as new immunizations but do not indicate the components that are associated with each procedure code.
Procedure code 90681 has one state-defined component, and procedure code 90696 has two state-defined components. The immunization administration codes for vaccines with one state-defined component do not require a modifier and two state-defined components should be billed with a U2 modifier.
For more information, call the TMHP Contact Center at 1-800-925-9126 or the TMHP-CSHCN Services Program Contact Center at 1-800-568-2413.
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