Vaccines for Children (VFC) Billing - Washington State Local Health Insurance - CHPW
Community Health Plan of Washington Apple Health Medicaid Plan Community Health Plan of Washington Apple Health Medicaid Plan

Vaccines for Children (VFC) Billing

Vaccines for Children (VFC) Billing

Please follow these guidelines when billing for the Vaccines for Children (VFC) Program:

  • Bill with the appropriate procedure codes, 90471-90474; and
  • The VFC vaccine with modifier SL; then
  • Bill the vaccine administration (“admin”) code 90471-90474. The admin code does not have a modifier requirement in the EPSDT Well-Child Program Billing Guide; however, providers may bill for the vaccine code and the admin code with modifier SL.

Please refer to the latest EPSDT Well-Child Program Billing Guide for more information.

Questions?

For questions, please contact CHPW’s Customer Service Department:

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