Medicaid Minnesota policy

Immunization and Vaccine Benefits Codes for Children

Immunization and Vaccine Benefits Codes for Children is a public Medicaid Minnesota policy (effective Oct 13, 2025). It lists 68 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.

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Payer
Medicaid Minnesota
Effective
Oct 13, 2025
Line of business
Medicaid
States
MN
Source
www.dhs.state.mn.us

Codes in this policy

The CPT and HCPCS codes the policy names. A policy can name a code it excludes.

CodeOther Medicaid Minnesota policies
90380Policies naming 90380
90381Policies naming 90381
90581Policies naming 90581
90586Policies naming 90586
90611Policies naming 90611
90619Policies naming 90619
90620Policies naming 90620
90621Policies naming 90621
90623Policies naming 90623
90624Policies naming 90624
90633Policies naming 90633
90636Policies naming 90636
90644Policies naming 90644
90647Policies naming 90647
90648Policies naming 90648
90649Policies naming 90649
90650Policies naming 90650
90651Policies naming 90651
90655Policies naming 90655
90656Policies naming 90656
90657Policies naming 90657
90658Policies naming 90658
90660Policies naming 90660
90661Policies naming 90661
90671Policies naming 90671
90674Policies naming 90674
90675Policies naming 90675
90676Policies naming 90676
90677Policies naming 90677
90678Policies naming 90678
90680Policies naming 90680
90681Policies naming 90681
90682Policies naming 90682
90685Policies naming 90685
90690Policies naming 90690
90691Policies naming 90691
90696Policies naming 90696
90697Policies naming 90697
90698Policies naming 90698
90700Policies naming 90700
90707Policies naming 90707
90710Policies naming 90710
90713Policies naming 90713
90714Policies naming 90714
90715Policies naming 90715
90716Policies naming 90716
90717Policies naming 90717
90723Policies naming 90723
90732Policies naming 90732
90733Policies naming 90733
90734Policies naming 90734
90739Policies naming 90739
90740Policies naming 90740
90744Policies naming 90744
90747Policies naming 90747
90748Policies naming 90748
90749Policies naming 90749
90756Policies naming 90756
91304Policies naming 91304
91318Policies naming 91318
91319Policies naming 91319
91320Policies naming 91320
91321Policies naming 91321
91322Policies naming 91322
Q2035Policies naming Q2035
Q2037Policies naming Q2037
Q2038Policies naming Q2038
Q2039Policies naming Q2039

All Medicaid Minnesota policies

Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.