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Flu Season Alert! Alerta de temporada de influenza:

Don’t let germs win this season – protect yourself and your family!

The flu vaccine is your best defense against flu and related complications – PLUS, it is a covered benefit for Texas Children’s Health Plan members! Learn more!

¡No permitas que los gérmenes ganen esta temporada! ¡Protégete a ti y a tu familia!

La vacuna contra la influenza es tu mejor defensa contra la influenza y sus complicaciones. Además, ¡es un beneficio cubierto para los miembros de Texas Children's Health Plan! Aprende más

Age Range Updates for Trivalent Influenza Vaccine Procedure Codes

Date: December 31, 2024 

Attention: Prescribers

Effective date: September 1, 2024

Call to action: The purpose of this communication is to inform prescribers that effective for dates of service on or after September 1, 2024, the age range limitations for trivalent influenza vaccine procedure codes have been updated as follows:

 

Procedure CodeAge Range
906566 months of age or older
906586 months of age or older
906602 years through 49 years of age
9067318 years of age or older

How this impacts providers: Affected claims that are submitted with dates of service on or after September 1, 2024, will be reprocessed. Providers may receive additional payment, which will be reflected on future Remittance and Status (R&S) Reports.

Next step for Providers: Prescribers should adjust their prescribing patterns according to the age range updates and 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: https://www.texaschildrenshealthplan.org/providers/provider-news/provider-alerts.