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90750 - vaccine is billed using CPT code . Blue KC provides reimbursement

This procedure appears on the selected insurer prior authorization source.

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Procedure / Servicevaccine is billed using CPT code . Blue KC provides reimbursement
Procedure / Service Description

HEALTHCARE - 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 plans currently permitted to exclude coverage for preventive care services.

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.