Vaccine Services Procedure Code 90623 is Now Available Through TVFC

Date: May 14, 2024
 
Attention: All Providers

Effective Date: April 1, 2024

Call to action: Texas Children’s Health Plan (TCHP) would like to inform providers that effective for dates of service on or after April 1, 2024, vaccine services procedure code 90623 is now available through the Texas Vaccines for Children (TVFC) program for clients who are 10 years through 18 years of age.

Note: Procedure codes for vaccines distributed by the Texas Vaccines for Children Program are processed as Informational on Texas Medicaid fee-for-service claims for clients who are 18 years of age or younger. However, these procedure codes are reported with the procedure code for the administration of the vaccine, which allows the provider to be reimbursed for the administration service.

TCHP will reprocess affected claims submitted with the 90623 procedure code and date of service on or after April 1, 2024. Providers may bill TCHP retroactively for procedure code 90623.

Next step for Providers: Providers are encouraged to share this communication with their staff.

If you have any questions, please email Provider Relations at: providerrelations@texaschildrens.org.

For access to all provider alerts,log into:
www.thecheckup.org or www.texaschildrenshealthplan.org/for-providers.