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ForwardHealth Reimburses New Vaccine Procedure Codes

ForwardHealth reimburses providers for immunizations, including pneumonia, COVID-19, respiratory syncytial virus (RSV), and monkeypox (mpox). The new Current Procedural Terminology vaccine procedure codes for these vaccines are listed below. The maximum allowable fee schedule lists reimbursement rates and is available on the ForwardHealth Portal.

Refer to ForwardHealth Update 2024-43, “ForwardHealth Reimburses New Vaccine Procedure Codes,” for more information.

Code Manufacturer Vaccine Name Effective Date
90611 Bavarian Nordic JYNNEOS 4/1/2024
90684 Merck CAPVAXIVE 7/1/2024
91304 Novavax, Inc. Novavax COVID-19 Vaccine, Adjuvanted 9/1/2024
91318 Pfizer Manufacturing Belgium NV Pfizer-BioNTech COVID-19 Vaccine (3 mcg) 9/1/2024
91319 Pfizer Manufacturing Belgium NV Pfizer-BioNTech COVID-19 Vaccine (10 mcg) 9/1/2024
91320 Pfizer Laboratories Div Pfizer Inc COMIRNATY (30 mcg) 9/1/2024
91321 Moderna US, Inc. Moderna COVID-19 Vaccine (25 mcg) 9/1/2024
91322 Moderna US, Inc. Spikevax (50 mcg) 9/1/2024
90683 Moderna US, Inc. mRESVIA 6/1/2024
 
 
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