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Influenza Vaccine Procedure Code 90653 Became a Benefit for CSHCN Effective September 1, 2024

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Effective for dates of service on or after September 1, 2024, influenza vaccine procedure code 90653 was made a benefit of the Children with Special Health Care Needs (CSHCN) Services Program for clients who are 65 years of age or older.

Procedure code 90653 may be reimbursed for the following provider types and places of service:

Place of ServiceProvider Type
OfficePhysician, Physician Assistant, Nurse Practitioner, Clinical Nurse Specialist, Pharmacist, and Pharmacy
HomePhysician, Physician Assistant, Nurse Practitioner, Clinical Nurse Specialist
Outpatient HospitalHospital Providers
Other LocationsPhysician, Physician Assistant, Nurse Practitioner, Clinical Nurse Specialist

Administration for procedure code 90653 may be reimbursed when billed with corresponding vaccine administration procedure code 90471 or 90472.

The Advisory Committee on Immunization Practices (ACIP) reviews the composition of influenza vaccines annually and frequently makes updates to their recommendations. Providers should refer to the Centers for Disease Control and Prevention (CDC) Seasonal Flu Vaccines web page for current recommendations.

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