Education & TrainingHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJune 1, 2024

Change to vaccine codes and age limitations

All national drug codes are inactive for codes 90649 and 90650. Beginning August 1, 2024, these codes will no longer be reimbursed.

Please note valid codes listed in the table below.

Code

Description

Age limitation

90651

Human papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), two or three dose schedule, for intramuscular use

All members ages 9 to 45

90736

Zoster (shingles) vaccine (HZV), live, for subcutaneous injection

To align with CDC guidance, all national drug codes are inactive for this code and have been termed from the Anthem HealthKeepers Plus system effective since November 18, 2020.

90750

Zoster (shingles) vaccine (HZV), recombinant, sub-unit, adjuvanted, for intramuscular injection

Age 50 and older

We recommend that providers visit the online provider manual to review all authorization, appeals, and reconsideration processes.

If you have any questions about this communication, call Anthem HealthKeepers Plus Provider Services at 800-901-0020.

Contact us

Availity Chat with Payer is available during normal business hours. Get answers to your questions about eligibility, benefits, authorizations, claims status, and more. To access Availity Essentials, go to Availity.com and select the appropriate payer space tile from the drop-down. Then, select Chat with Payer and complete the pre-chat form to start your chat.

For additional support, visit the Contact Us section at the bottom of our provider website for the appropriate contact.

HealthKeepers, Inc. is an independent licensee of the Blue Cross Blue Shield Association. Anthem HealthKeepers Plus, offered by HealthKeepers, Inc., is a health plan that contracts with the Virginia Department of Medical Assistance Services to provide Medicaid benefits to enrollees. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

VABCBS-CD-057737-24

PUBLICATIONS: June 2024 Provider Newsletter