Monkeypox and Smallpox Vaccines and Administration - JF Part A

HCPCS/CPT Codes

• 90611 - Smallpox and monkeypox vaccine, attenuated vaccinia virus, live, non-replicating, preservative free, 0.5 mL dosage, suspension, for subcutaneous use
• 90622 - Vaccinia (smallpox) virus vaccine, live, lyophilized, 0.3 mL dosage, for percutaneous use
• 90471 - Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)
  • 90472 - each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure)

Payment

When the government provides vaccines at no cost, only bill for the vaccine administration. Beneficiary cost sharing will apply to the administration of the vaccine.

Resources

CMS MLN Connects August 11, 2022