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PA Bulletin, Doc. No. 10-1494



Fee Schedule; Addition of Procedure Codes for the Administration of Vaccines

[40 Pa.B. 4715]
[Saturday, August 14, 2010]

Purpose of Notice

 In accordance with 55 Pa. Code § 1150.61(a) (relating to guidelines for fee schedule changes), the Department of Public Welfare (Department) announces the addition of the following procedure codes to the Medical Assistance (MA) Program Fee Schedule for the administration of vaccines, effective for dates of service on and after August 30, 2010.

Description MA Fee
90636 Hepatitis A and Hepatitis B
vaccine (HepA-HepB), adult dosage, for intramuscular use
90650 Human Papillomavirus virus (HPV) vaccine, types 16 and
18, bivalent, 3 dose schedule,
for intramuscular use
90670 Pneumoccal conjugate vaccine,
13 valent, for intramuscular use
90743 Hepatitis B vaccine, adolescent
(2 dose schedule), for intra-
muscular use

 Procedure codes 90650 and 90670 are being added to the MA Program Fee Schedule as a result of the recent United States Food and Drug Administration approval of Cervarix® and Prevnar 13® vaccines. Additionally, procedure codes 90636 and 90743 are being added for the administration of Twinrix® and Recombivax HB® (two dose schedule).

 The Department will issue an MA Bulletin to providers enrolled in the MA Program specifying the procedures for billing of the administration of the vaccines.

Fiscal Impact

 It is anticipated that adding procedure codes for the administration of vaccines to the MA Program Fee Schedule will have no fiscal impact because there will not be an increase in the number of administration fees that are paid. The additional procedure codes allow for identification of the vaccine that is administered.

Public Comment

 Interested persons are invited to submit written comments regarding this notice to the Department of Public Welfare, Office of Medical Assistance Programs, c/o Regulations Coordinator, Room 515, Health and Welfare Building, Harrisburg, PA 17120. Comments received within 30 days will be reviewed and considered for any subsequent revision to the MA Program Fee Schedule.

 Persons with a disability who require an auxiliary aid or service may submit comments using the Pennsylvania AT&T Relay Service at (800) 654-5984 (TDD users) or (800) 654-5988 (voice users).


Fiscal Note: 14-NOT-654. No fiscal impact; (8) recommends adoption.

[Pa.B. Doc. No. 10-1494. Filed for public inspection August 13, 2010, 9:00 a.m.]

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