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MedicaidBilling CodesMedium impact

RSV Vaccine Updates 10.16.23

Kentucky Medicaid·KY · Family Medicine, Pediatrics, Internal Medicine +1 more·Pharmacy
Effective date
Oct 1, 2023
We identified it
Jun 20, 2026
Days to comply

Summary

Kentucky Medicaid has updated fee schedules to include new RSV vaccine and monoclonal antibody codes. Six new codes are now covered: one mRNA vaccine (effective 1/1/24), one existing monoclonal antibody, and four new RSV treatments/vaccines (effective 10/1/23).

Action Required

Action needed
Immediately: Billing team must add RSV codes 90378, 90380, 90381, 90678, and 90679 to billing system for Kentucky Medicaid patients (effective 10/1/23). By January 1, 2024: Add code 90683 for mRNA RSV vaccine. Update encounter forms and fee schedules to include all six new RSV-related codes.

Affected Billing Codes

90683
90378
90380
90381
90678
90679