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RSV Vaccine Procedure Code 90678 a Benefit for CSHCN Effective October 1, 2023

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Effective for dates of service on or after October 1, 2023, the respiratory syncytial virus (RSV) vaccine procedure code 90678 is a benefit of the Children with Special Health Care Needs (CSHCN) Services Program for clients who are 10 years of age or older.

Procedure code 90678 may be reimbursed for the following provider types and places of service:

Place of ServiceProvider Type
OfficePhysician Assistant, Nurse Practitioner, Clinical Nurse Specialist, Physician, Pharmicist, Pharmacy
HomePhysician Assistant, Nurse Practitioner, Clinical Nurse Specialist, Physician, Pharmicist, Pharmacy
Outpatient HospitalPhysician Assistant, Nurse Practitioner, Clinical Nurse Specialist, Physician, Pharmicist, Hospital, Pharmacy
Other LocationsPhysician Assistant, Nurse Practitioner, Clinical Nurse Specialist, Physician, Pharmicist, Pharmacy

Affected claims that are submitted with dates of service on or after October 1, 2023, will be reprocessed. Providers may receive additional payment, which will be reflected on future Remittance and Status (R&S) Reports.

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