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COVID-19 Vaccine Counseling Procedure Code G0315 Now a Benefit for the CSHCN Services Program

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Effective for dates of service on or after April 1, 2023, COVID-19 vaccine counseling procedure code G0315 is a benefit of the Children with Special Health Care Needs (CSHCN) Services Program for individuals birth through 20 years of age.

Procedure code G0315 will be limited to once per day, for the same provider, as well as three per rolling year, for any provider.

Procedure code G0315 cannot be billed on the same day, by the same provider, for the same client, as any of the following COVID-19 vaccine administration procedure codes:

Procedure Codes

0001A

0002A

0003A

0004A

0011A

0012A

0013A

0031A

0034A

0041A

0042A

0044A

0051A

0052A

0053A

0054A

0064A

0071A

0072A

0073A

0074A

0081A

0082A

0083A

0091A

0092A

0093A

0094A

0111A

0112A

0113A

0124A

0134A

0144A

0154A

0164A

0173A

Procedure code G0315 is a CSHCN Services Program benefit for the following providers and places of service:

Place of Service

Provider Type

Office

Physician Assistant (PA), Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), Physician, Pharmacist, Comprehensive Care Program (CCP) Provider, Nephrology (Hemodialysis, Renal Dialysis), Pharmacy

Outpatient Hospital

Hospitals, Nephrology (Hemodialysis, Renal Dialysis), Renal Dialysis Facility

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