Policy Updates Reimbursement PoliciesMedicaidSeptember 30, 2022

Flu vaccination reimbursement

Beginning January 1, 2024, Empire became Anthem. This article, published under the former brand, now applies to Anthem.

Empire BlueCross BlueShield HealthPlus (Empire) reimburses both capitated and fee-for-service contracted providers for flu vaccine services.

We are aligning our reimbursement policy with the New York State Department of Health’s communication regarding flu vaccine codes and will reimburse for the following CPT® codes:

90630

90672

90685

90694

90656

90673

90686

90756

90658

90674

90687

 

90662

90682

90688

 

If you provided flu vaccine service to an Empire member prior to receipt of this notice and did not include the service on the claim, please submit a corrected claim (not a new claim) with the applicable code(s) to receive both the additional reimbursement and the credit for the quality measure.

If you have questions about this communication or need assistance with any other item, call Provider Services at 800-450-8753.

NYBCBS-CD-004829-22, NYBCBS-CD-038041-23

PUBLICATIONS: October 2022 Newsletter, October 2023 Provider Newsletter