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Excellus BlueCross BlueShieldCommercial · Coverage · Vaccines (Immunizations) · Family Medicine, Internal Medicine, Pediatrics +1 moreMedium impact

Immunizations 2.01.42

Act
by Dec 18, 2025
Effective date
Dec 18, 2025
Identified
Jun 20, 2026

Summary

Excellus BlueCross BlueShield updated their immunization policy effective December 18, 2025, specifying coverage for childhood and adult vaccines following CDC/ACIP recommendations. The policy includes comprehensive CPT codes for vaccine administration and excludes work/travel-related vaccines unless specifically covered.

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What to do

by Dec 18, 2025 · 3 steps
01Billing team must verify that vaccine administration codes (90460-90474) are properly configured for Excellus BCBS members.
02Ensure work/travel-related vaccines are flagged for benefit verification as they may not be covered unless specifically included in member contracts.
03Update billing system to reference ACIP guidelines for coverage determination.

Codes mentioned

90380903819038290460904619047190472904739047490581905849058790593906119061990620906219062290623906249062690627906329063390634

Original notice

Immunizations 2.01.42
excellusbcbs.com · Always check the source before changing claims.
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Related policy hubs

Excellus BlueCross BlueShield policiesFamily MedicineInternal MedicinePediatricsGeneral PracticeCode 90380Code 90381Code 90382Code 90460Code 90461Code 90471Code 90472Code 90473Code 90474Code 90581Code 90584Code 90587Code 90593Code 90611Code 90619Code 90620Code 90621Code 90622Code 90623Code 90624Code 90626Code 90627Code 90632Code 90633Code 90634

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