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Immunizations Billing Manual Covered Services Pharmacy Administration of Vaccines Pharmacist Billing Guidelines Non-Covered Services and General Limitations General Billing Information Vaccine Administration Codes and Reimbursement Rates Using Pediatric Immunization Codes 90460 and 90461 Using Vaccine Administration Codes 90471-90474 Using Vaccine Administration Codes 96380 and 96381 Preventive Medicine Counseling Codes Billing Instructions for Specific Providers Self-Administered Vaccines Medicare Crossover Claims (Medicare/Health First Colorado Claims) Immunization Billing Codes National Correct Coding Initiative (NCCI) Impacts on Immunization and Evaluation and Management (E&M) Codes COVID-19 Vaccines Synagis (Palivizumab) Vaccine Nirsevimab and Clesrovimab Seasonal Influenza Vaccine CDPHE VFC Program CMS 1500 Paper Claim Reference Table CMS 1500 Immunization Claim Example Timely Filing Program Integrity and Compliance Appendices Immunization Manual Revisions Log Return to Billing Manuals Web Page This Immunization Billing Manual provides a summary of benefits and billing guidelines for Health First Colorado (Colorado's Medicaid program) providers who administer vaccines to adults and children