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Jun 1, 2026

Payment policy updates

Effective July 1, 2026, the below CPT Codes have been added to the following payment policies:

Immunization Adult and Pediatric Payment Policy

Preventive Services Commercial

Preventive Services Medicare Advantage 

90616 Influenza virus vaccine, trivalent (tIRV), mRNA, 37.5 mcg/0.38 mL dosage, for intramuscular use

90639 Influenza virus vaccine, quadrivalent (qIRV), mRNA; 50 mcg/0.5 mL dosage, for intramuscular use

Click on the above  policies for additional information. 

Non-Reimbursable Health Service Codes Payment Policy

Effective July 1, 2026, the below codes have been added to the Non-Reimbursable Health Service Codes Payment Policy

1030T, 1031T,1032T,1033T,1034T,1035T,1039T, 1041T, 1042T, 1043T,1044T,1045T,1046T,1047T,1048T,1049T 

For additional details related to this policy, please click here