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Some COVID-19 Procedure Codes Now Benefits for Pharmacists and Pharmacies Effective May 1, 2022

Last updated on 5/11/2022

Effective for dates of service on or after May 1, 2022, some COVID-19 procedure codes are benefits of the Children with Special Health Care Needs (CSHCN) Services Program for pharmacists and pharmacies.

Procedure codes 0071A and 0072A are benefits for the following provider types and places of service effective May 1, 2022, for CSHCN Services Program clients 5 through 11 years of age:

Procedure Code

Place of Service

Provider Type

0071A

Office

Pharmacist and pharmacy

0072A

Office

Pharmacist and pharmacy

Procedure codes 0051A, 0052A, 0053A, and 0054A are benefits for the following provider types and places of service effective May 1, 2022, for CSHCN Services Program clients 12 years of age and older:

Procedure Code

Place of Service

Provider Type

0051A

Office

Pharmacy

0052A

Office

Pharmacy

0053A

Office

Pharmacy

0054A

Office

Pharmacy

Procedure code 0073A is a benefit for the following provider type and place of service effective May 1, 2022, for CSHCN Services Program clients 5 through 11 years of age:

Procedure Code

Place of Service

Provider Type

0073A

Office

Pharmacy

For more information, call the TMHP-CSHCN Services Program Contact Center at 800-568-2413.