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MedicaidBilling CodesMedium impact

MAB2022032101

Pennsylvania Medicaid (DHS)·PA · Family Medicine, Pediatrics, General Practice +1 more·Provider Bulletin
Effective date
Jun 1, 2021
We identified it
Jun 20, 2026
Days to comply

Summary

Pennsylvania Medical Assistance (Medicaid) added two new vaccine administration CPT codes effective June 1, 2021: CPT 90619 for MenQuadfi® meningococcal vaccine ($10 fee) and CPT 90697 for Vaxelis® combination vaccine ($10 fee). These vaccines are now available through the VFC program for eligible children under 19.

Action Required

Action needed
Immediately: Update billing system to include CPT codes 90619 (MenQuadfi vaccine) and 90697 (Vaxelis vaccine) with $10.00 administration fee for Pennsylvania Medicaid patients. Verify patient age eligibility: 90619 for ages 2+ years, 90697 for 6 weeks through 4 years. Train staff on VFC program availability for eligible children under 19. Update encounter forms to include new vaccine codes.

Affected Billing Codes

90619
90697