Roster Billing Hepatitis A Vaccination Codes – CR 116982

MaineCare added Hepatitis A vaccination codes to the Roster Billing code list.  Roster Billing Specifications can be found here.    

Roster Billing Vaccine Codes  

Code  

Description  

Effective Date  

90632  

Hepatitis Vaccine Adult 1st Dose  

5/1/2023  

90633  

Hepatitis Vaccine Pediatric/Adult 2nd Dose  

5/1/2023  

90634  

Hepatitis Vaccine Pediatric/Adult 3rd Dose  

5/1/2023  

90636  

Hepatitis A/Hepatitis B Vaccine Adult  

5/1/2023 

  

Please contact Shannon Beggs, Provider Relations Specialist, with questions regarding Roster Billing.