Date: Pneumococcal Vaccine Procedure Codes 90671 and 90677 Become Benefits of Texas Medicaid
Date: January 13, 2022
Attention: Primary Care Providers
Effective Date: March 1, 2022Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated to the COVID-19 event. TCHP reserves the right to update and/or change this information without prior notice due to the evolving nature of the COVID-19 event.
Call to action: The U.S. Food and Drug Administration (FDA) approved the use of PREVNAR 20 (procedure code 90677) on June 10, 2021 and the use of VAXNEUVANCE - PREVNAR 15 (procedure code 90671) on July 16, 2021.
How this impacts providers: Effective for dates of service on or after March 1, 2022, pneumococcal vaccine procedure codes 90671 and 90677 will become benefits of Texas Medicaid for Members who are 18 years of age or older as follows:
Place of Service
When Services are Provided by
Office
Physician assistant (PA), nurse practitioner (NP), clinical nurse specialist (CNS), physician, pharmacy, pharmacist, certified nurse midwife, registered nurse, federally qualified health center (FQHC), Texas Health Steps (THSteps) medical, and Comprehensive Care Program (CCP) providers
Home
PA, NP, CNS, physician, FQHC, THSteps medical, and CCP providers
Outpatient hospital
FQHC, hospital, and THSteps medical providers
Other location
PA, NP, CNS, physician, FQHC, THSteps medical, and CCP providers