Monkeypox Diagnostic Testing and Vaccines Update and Information, CR 112045 

Monkeypox Diagnostic Testing and Vaccination Codes   

Code    

Description    

Effective Date    

MaineCare Rate    

 87593   

Infectious agent detection by nucleic acid (DNA or RNA); orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each  

 07/26/22   

 TBD*  

 90611   

Smallpox and monkeypox vaccine, attenuated vaccinia virus, live, non-replicating, preservative free, 0.5 mL dosage, suspension, for subcutaneous use  

 07/26/22   

 $0** 

 90622   

Vaccinia (smallpox) virus vaccine, live, lyophilized, 0.3 mL dosage, for percutaneous use  

 07/26/22   

 $0**  

*Rates not yet established  

**Government supplied at no cost and billed with the SL modifier 

Vaccine Administration Codes 

Code 

Description 

MaineCare Rate 

 90460 

Immunization administration through 18 years of age via any route of administration, with counseling by physician or other qualified health care professional; first or only component of each vaccine or toxoid administered 

$11.40 

 90461 

Immunization administration through 18 years of age via any route of administration, with counseling by physician or other qualified health care professional; each additional vaccine or toxoid component administered (List separately in addition to code for primary procedure) 

$8.64 

 90471 

Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid) 

$11.40 

 90472 

Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure) 

$8.64