MedicaidBilling CodesMedium impact
c 208649
Pennsylvania Medicaid (DHS)·PA · Family Medicine, Internal Medicine, OB-GYN +2 more·Provider Bulletin
Effective date
Sep 1, 2015
We identified it
Jun 20, 2026
Summary
Pennsylvania Medical Assistance Program added CPT code 90651 for HPV 9-valent vaccine (Gardasil 9) administration effective September 1, 2015. The program pays $10.00 per administration for beneficiaries 19 years and older, while younger patients are covered through the VFC Program at no cost.
Action Required
By September 1, 2015: Billing team must update systems to use CPT code 90651 for HPV 9-valent vaccine administration to Pennsylvania Medical Assistance beneficiaries aged 19 and older. Stop using CPT 90749 for Gardasil 9 administration after this date. Verify patient age before billing - use VFC Program for patients under 19. Update fee schedules to reflect $10.00 administration fee.