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December 2023

Category I RSV vaccine codes added

The American Medical Association has added CPT Category I RSV vaccine codes. The codes, effective dates and Blue Cross Blue Shield of Michigan’s coverage decisions are below.

Medicine vaccines/Toxoids

Code

Change

Coverage comments

Effective date

*90683

Added

Covered

Jan. 1, 2024

*90679

Added

Covered

May 3, 2023

None of the information included in this article is intended to be legal advice and, as such, it remains the provider’s responsibility to ensure that all coding and documentation are done in accordance with all applicable state and federal laws and regulations.

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2022 American Medical Association. All rights reserved.