CO · guidance
CO HCPF Medical-Surgical Billing Manual — Vaccines/Immunizations
Vaccines/Immunizations
RefertotheImmunizationBenefitsBillingManuallocatedontheBillingManualswebpage.
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Bothmedicalcareandsurgeryareallowedwhenperformedonthesamedaybythephysicianwhenthesurgicalprocedureisminorinnature.Follow-upcarerequirementsaredeterminedbytheDepartmentofHealthCarePolicy&Financing(theDepartment)andarerelatedtothoseassignedbyMedicareandothersources.
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Newmembermedicalcarevisitsarelimitedtoone(1)permemberperprovider.AmedicalrecordsadministrativefeeisincludedinHealthFirstColoradoreimbursement.
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Nursingfacilityvisitsarelimitedtoone(1)visitperdaypermemberbythesameproviderforthesamediagnosisorcondition.
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Officevisitsarelimitedtoone(1)visitperdaypermemberbythesameproviderforthesamediagnosisorcondition.
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Providersmaybillfornon-routinesuppliesfollowingtheinstructionsinthecurrentCMSbulletinforpractitioners.
Billablenon-routinesuppliesarelistedintheCMSpublicationunderseparatecategories.ProvidersshouldalwaysrefertothemostcurrentpublicationswhenbillingHealthFirstColoradoassomesuppliesareconsideredinclusiveinthemedicalorsurgicalservice.
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Provenance
- Source
- hcpf.colorado.gov
- Retrieved
- 2026-07-26
- Edition
- 2026-07-26
- Content hash
6a65d0407843c514a0d63bea2a281461a7a61e089eb5445a097ff335fb1b7859
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