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FDA Approves First RSV Vaccine in U.S. for 60-plus

Make sure providers know how to report Arexvy. The first vaccine for respiratory syncytial virus (RSV) in the world, according to global biopharma company GSK, has received Food and Drug Administration (FDA) approval in the United States. The FDA announced, May 3, that “Arexvy is approved for the prevention of lower respiratory tract disease caused […]

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AAPC Knowledge Center

COVID-19 Vaccine Coding Gets Major Overhaul

6 new COVID-19 vaccine administration codes added. The American Medical Association (AMA) has released several new vaccine administration CPT® codes and revised existing booster codes. These immediate changes are in response to the U.S. Food and Drug Administration (FDA) recently updating its recommendations for COVID-19 vaccines. COVID-19 Coding Changes at a Glance The code additions […]

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AAPC Knowledge Center

FDA Amends COVID-19 Vaccine Emergency Use Authorizations

Monovalent vaccines are out and bivalent vaccines are in. On April 18, 2023, the U.S. Food and Drug Administration (FDA) amended the emergency use authorizations (EUAs) for Moderna and Pfizer-BioNTech’s bivalent mRNA COVID-19 vaccines. Changes were made to simplify the vaccination schedule and authorize the current bivalent vaccines to be used for all doses. The […]

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AAPC Knowledge Center

Billing for Tetanus Vaccine? Check the Diagnosis

Did you know that tetanus vaccines are only covered under Medicare Part B when given for treatment? Preventative tetanus vaccinations are non-covered. I found this hard to believe, so I looked it up. Sure enough, the Centers for Medicare & Medicaid Services Internet-Only Manuals Pub. 100-02, Chapter 15, Section 50.4.4.2 states, “Vaccinations or inoculations are […]

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AAPC Knowledge Center

Updated Booster Codes for COVID-19 Vaccine Released

Age determines who qualifies for the bivalent formulations from Pfizer and Moderna. On Aug. 31, 2022, the U.S. Food and Drug Administration (FDA) amended the emergency use authorizations (EUAs) of the Moderna and Pfizer-BioNTech COVID-19 vaccines to include updated booster bivalent formulations. These latest formulations include messenger RNA components to help build immunity against both […]

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AAPC Knowledge Center

Flu Vaccine Codes and Payments Effective Aug. 1

Is your billing office ready for the 2022-2023 influenza season? For the 2022-2023 influenza season, the Centers for Disease Control and Prevention (CDC) recommends everyone 6 months of age and older be vaccinated against the flu “ideally by the end of October.” This advice has not changed from previous years, but the Medicare Part B […]

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AAPC Knowledge Center

Novavax COVID-19 Vaccine Receives EUA

Here’s what you need to know to properly code this latest vaccination for SARS-CoV-2. The Food and Drug Administration (FDA) issued an emergency use authorization (EUA) for the Novavax COVID-19 vaccine on July 13, 2022. This EUA comes more than a year after the American Medical Association (AMA) released new codes for the Novavax vaccine […]

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AAPC Knowledge Center

Code Moderna COVID-19 Vaccine for 6 to 11 years

The American Medical Association (AMA) has created three new CPT® codes to report the administration of the Moderna COVID-19 vaccine for patients 6 through 11 years. The new codes are effective June 17, 2022. Note These New Moderna Admin Codes For children ages 6 through 11 years, report the Moderna vaccine with existing CPT® code […]

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AAPC Knowledge Center

COVID-19 Vaccine Codes for Patients 4 Years and Younger

The effective date for 0081A-0083A and 91308 is June 17, 2022. The Food and Drug Administration (FDA) granted emergency use authorization (EUA) to the Pfizer-BioNTech COVID-19 vaccine for patients ages 6 months to 4 years. The new CPT® codes for reporting this vacinne are: 0081A Immunization administration by intramuscular injection of severe acute respiratory syndrome […]

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AAPC Knowledge Center

Code Moderna COVID-19 Vaccine for Patients 6 Months to 5 Years

Pair admin code 0111A or 0112A with supply code 91311. Moderna’s COVID-19 vaccine for pediatric patients 6 months to 5 years old has been granted emergency use authorization (EUA) by the Food and Drug Administration (FDA). The effective date is June 17, 2022. Assign the Correct Code Pair The CPT® codes for administration of Moderna’s pediatric […]

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AAPC Knowledge Center