Seasonal Flu Codes Updated Effective August 1, 2025, CR 134495
Effective August 1, 2025, MaineCare updated seasonal flu codes. See the table below for the new rates.
|
Start Date |
End Date |
Procedure Code |
Rate |
|
8/1/2025 |
|
90653 |
$98.16 |
|
8/1/2025 |
|
90656 |
$23.22 |
|
8/1/2025 |
|
90657 |
$11.03 |
|
8/1/2025 |
|
90658 |
$22.07 |
|
8/1/2025 |
|
90660 |
$29.71 |
|
8/1/2025 |
|
90661 |
$49.50 |
|
8/1/2025 |
|
90662 |
$98.16 |
|
8/1/2025 |
|
90673 |
$98.16 |
Adjustment Billing Guidance for Dates of Service August 1, 2025, Through September 17, 2025
- Providers must adjust all claims that were billed and paid below the new rates within 120 days of this notice.
- MaineCare will adjust claims that were billed and paid at or above the new rates.
For questions, please contact your Provider Relations Specialist.