Medicaid Billing

[Missouri Public Health Association]

We have a question on Medicaid billing for immunizations. On the modifier SL do you put that for the administration only or for the actual vaccine? Is that for Healthy Blue or for all?

[Missouri Public Health Association]

for vaccine.

[Missouri Public Health Association]

SL is the code for “state supplied”. Use this for your vaccine claims, not administration, and for every plan.

[Missouri Public Health Association]

Hello Billers!

While we are on the subject of billing shots, I wanted to verify we have the correct billing cheat sheet for child immunizations. Can someone please reference where to look for up to date pricing for this service?

Thank you,
April Jacks

[Author]

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