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UHC - Reimbursement Update to Vaccines for CPT 90461


As part of the Patient Protection and Affordable Care Act (PPACA) regulations, CPT code 90461 is not reimbursable for vaccines administered to Medicaid members through the Vaccines for Children (VFC) program in Florida. Beginning Aug. 15, 2019, any claim line billed for this code will be denied

Source: https://www.uhcprovider.com/content/provider/en/viewer.html?file=%2Fcontent%2Fdam%2Fprovider%2Fdocs%2Fpublic%2Fresources%2Fnews%2F2019%2Fnetwork-bulletin%2FSeptember-2019-Network-Bulletin.pdf

Also click here to review the state wise guidelines

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