Claims Processing Instructions for the New Pneumococcal 15-valent Conjugate Vaccine Code 90671 and Pneumococcal 20-valent Conjugate Vaccine Code 90677 - Revised

MLN Matters Number: MM12439 Revised
Related CR Release Date: March 29, 2022
Related CR Transmittal Number: R11329CP
Related Change Request (CR) Number: 12439
Effective Date: July 1, 2021, for 90677, July 16, 2021, for 90671
Implementation Date: April 4, 2022

Note: CMS revised this Article due to a revised CR 12439. The revised CR shows the MACs will adjust certain previously processed and rejected claims with HCPCS code 90671 after April 4, 2022. CMS made the same change in the Article in dark red font on page 2. Also, CMS revised the CR release date, transmittal number, and the web address of the CR. All other information remains the same.

CR 12439 tells you about:

  • A new code for a pneumococcal vaccine
  • Where to find pricing for the code
  • The basis for Medicare’s payment to institutional providers for this code

Make sure your billing staff knows about new vaccine code:

  • 90677, which is effective for Dates of Service (DOS) on or after July 1, 2021
  • 90671, which is effective for DOS on or after July 16, 2021

View the complete CMS Medicare Learning Network (MLN) Matters (MM)12439.

Last Updated Apr 01 , 2022