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MedicaidBilling CodesMedium impact

Family Planning Clinic Fee Schedule pdf

Connecticut Medicaid (HUSKY Health)·CT · Family Medicine, OB-GYN·Reimbursement
Effective date
Oct 1, 2022
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid (HUSKY Health) added three new billing codes for monkeypox testing and vaccination to the Family Planning Clinic fee schedule, effective October 1, 2022. The testing code has a set reimbursement rate of $33.51, while vaccination codes are manually priced and can only be billed when commercially purchased (not when provided free by the state).

Action Required

Action needed
Immediately: Family planning clinics must update billing systems to include new monkeypox codes 87593 ($33.51), 90611, and 90622 (manually priced) for Connecticut Medicaid/HUSKY Health plans. Only bill these codes when services are commercially purchased - do not bill if vaccines/testing obtained free from state. No separate administration code exists for monkeypox vaccines; include administration in E&M service billing.

Affected Billing Codes

87593
90611
90622