Our office has been told by BCBS for years that they will never pay for 90461. I don’t understand how they can do this, when the number of vaccines we administer constitutes our usage of 90461. I have tried to find this rule under their payer policies, but I can’t find anything that states that won’t pay for 90461. Is anyone else having this issue???

They have also said the same thing about extended hour/holiday codes – 99050 & 99051. Any help on getting these codes paid by BCBS would be MUCH appreciated!

Thank you!