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New CPT Codes for Coronavirus Vaccines

How are the COVID-19 Vaccine CPT codes 91300 and 91301, To Be Billed?

The AMA (American Medical Association) has approved 2 coronavirus vaccine CPT Codes – 91300 as well as 91301. These 2 codes are now being used to track, report, and finally analyze data in a better manner in order to plan and allocate vaccines for this virus. The vaccines are being manufactured by Pfizer as well as Moderna, and they both need two doses

Then there are also 4 vaccine administration codes, namely 0001A, 0002A, 0011A, and 0012A, that have been added. Specific to each one of the two vaccines, these administration codes pertain to whether it is the first dose given to the patient or the second one.

CPT Codes for Coronavirus Vaccine

91300

SARS-CoV-2 (Severe acute respiratory syndrome coronavirus 2) / Coronavirus disease (COVID-19) vaccine, manufactured by Pfizer, has mRNA-LNP, spike protein, is free of preservatives, is diluent reconstituted, and is meant for intramuscular use with the dosage being 30 mcg/0.3mL.

91301

SARS-CoV-2 (Severe acute respiratory syndrome coronavirus 2) / Coronavirus disease (COVID-19) vaccine, manufactured by Moderna, has mRNA-LNP, spike protein, is free of preservatives, and is meant for intramuscular use with the dosage boeing 100 mcg/0.5mL.

COVID-19 Vaccine Administration Codes

The vaccine administration codes for coronavirus are specific to the individual vaccines and their dosages. These are the codes that report the work of the administration of the vaccine to the patient, counseling of the patient or caregiver, as well as documenting the medical record.

0001A

Immunization administration by intramuscular injection of the first dose of the Pfizer vaccine only, for SARS-CoV-2 (Severe acute respiratory syndrome coronavirus 2) / Coronavirus disease (COVID-19), that has mRNA-LNP, spike protein, is free of preservatives and is diluent reconstituted, with its dosage being 30 mcg/0.3mL.

0002A

Immunization administration by intramuscular injection of the second dose of the Pfizer vaccine only, for SARS-CoV-2 (Severe acute respiratory syndrome coronavirus 2) / Coronavirus disease (COVID-19) vaccine, that has mRNA-LNP, spike protein, is free of preservatives, and is diluent reconstituted, with its dosage being 30 mcg/0.3mL.

0011A

Immunization administration by intramuscular injection of the first dose of the Moderna vaccine only, for SARS-CoV-2 (Severe acute respiratory syndrome coronavirus 2) / Coronavirus disease (COVID-19) vaccine, that has mRNA-LNP, spike protein, and is free of preservatives, with its dosage being 100 mcg/0.5mL.

0012A

Immunization administration by intramuscular injection of the second dose of the Moderna vaccine only, for SARS-CoV-2 (Severe acute respiratory syndrome coronavirus 2) / Coronavirus disease (COVID-19) vaccine, that has mRNA-LNP, spike protein, and is free of preservatives, with its dosage being 100 mcg/0.5mL.

How to Bill for COVID-19 Vaccine

Proper medical billing for the Coronavirus vaccine is significant not only for reimbursement but also for governmental reporting purposes.

Every Coronavirus vaccine has its own individual CPT code based upon who the vaccine manufacturer is – Morderna or Pfizer. The code for vaccine administration is also based upon the manufacturer, as well as the number of doses to be administered.

If a healthcare organization receives one of these vaccines from the government to be administered to patients, they should remember to only bill the codes for vaccine administration when submitting claims. They Should Not include the CPT codes for the vaccine when the Coronavirus vaccines are free of cost.

How will these Vaccines for Coronavirus be Reimbursed?

The Federal Government shall be providing the COVID-19 Vaccine when it first comes out. So, there will not be any reimbursement for the vaccines themselves. But, there will be reimbursement for administering the vaccine.

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