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90736 - The Zostavax vaccine is billed using CPT code and the Shingrix

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Procedure / ServiceThe Zostavax vaccine is billed using CPT code and the Shingrix
Procedure / Service Description

HEALTHCARE - Zostavax at age 60 when received from an in-network provider. The Zostavax vaccine is billed using CPT code 90736 and the Shingrix vaccine is billed using CPT code 90750. Blue KC provides reimbursement based on the member’s benefits. These vaccines may not be covered on

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.