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THOMAS J. VILSACK, GOVERNOR DEPARTMENT OF HUMAN SERVICES
SALLY J. PEDERSON, LT. GOVERNOR KEVIN W. CONCANNON, DIRECTOR
Informational Letter No. 559
DATE: December 26, 2006
TO: Physicians, Nurse Practitioners, Screening Centers, Maternal Health Centers, and
Home Health Agencies
ISSUED BY: Iowa Medicaid Enterprise, Iowa Department of Human Services
SUBJECT: 2006-2007 VFC Influenza Vaccine Availability
The VFC Program has distributed all VFC influenza vaccine available through the CDC contract.
Iowa Medicaid will reimburse practitioners for influenza immunizations provided from private
stock when VFC vaccine is not available. Substitute code 90749 for private stock vaccine for
90658 (influenza virus vaccine, split virus, for use in individuals 3 years of age and above, for
intramuscular use). The vaccine administration code may be billed in addition to 90749. This
will allow for electronic submission of your claims.
If you have questions, please contact IME Provider Services at 1-800-338-7909, locally 515-725-
1004 or by e-mail at imeproviderservices@dhs.state.ia.us
IOWA MEDICAID ENTERPRISE - 100 ARMY POST ROAD - DES MOINES, IA 50315
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