MedicaidBilling CodesMedium impact
MAB2022082603
Pennsylvania Medicaid (DHS)·PA · Family Medicine, General Practice, Internal Medicine +1 more·Provider Bulletin
Effective date
Aug 29, 2022
We identified it
Jun 20, 2026
Summary
Pennsylvania Medical Assistance (Medicaid) added 6 new CPT codes for adult vaccines effective August 29, 2022, all reimbursed at $10.00 per administration. The shingles vaccine (90750) age eligibility was also expanded to include immunocompromised patients aged 0-49.
Action Required
By August 29, 2022: Billing team must update fee schedules and billing system to include new vaccine CPT codes 90587, 90626, 90627, 90671, 90677, and expanded age range for 90750. Set reimbursement rate at $10.00 per administration for Pennsylvania Medicaid claims. Update encounter forms to include new vaccine options for eligible providers.