COVID-19 vaccine counseling services are to be covered on a federal level

The Biden-Harris Administration urges state legislators to cover vaccine counseling visits for minors. To get the details of this nationwide proposal by the White House, please keep reading this bulletin.


In December 2021, the CMS announced that children’s vaccine counseling visits must be covered at no cost to Medicare-eligible individuals younger than 21 years old. In addition, the Centers for Medicare and Medicaid Services has made it a requirement for state legislators to cover such visits for Medicaid-eligible minors.

The following procedure codes are affected by this epochal update:• 90460 – Immunization administration through 18 years of age via any route of administration, with counseling by physician or other qualified health care professional; first or only component of each vaccine or toxoid administered• 90461 – Each additional vaccine/toxoid component administered (list separately in addition to code for primary procedure)
Source:

cms.gov


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