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FDA Limits J&J’s COVID-19 Vaccine

Adverse side effects make the Janssen vaccine an option of last resort. Emergency use authorization guidelines for Johnson & Johnson’s COVID-19 vaccine, labeled as Janssen, and reported with CPT® code 91303, have changed. The U.S. Food and Drug Administration now limits authorized use of the vaccine to “individuals 18 years of age and older for […]

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AAPC Knowledge Center

FDA Approves COVID-19 Vaccine for Ages 5-11

Children 5 to 11 years of age may now receive the Pfizer-BioTech COVID-19 vaccine. The Food and Drug Administration (FDA) expanded emergency use authorization (EUA) on Oct. 29 to include the new age group. The Centers for Disease Control and Prevention (CDC) is expected to release clinical recommendations this week. The FDA considered an EUA […]

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AAPC Knowledge Center

Update: 2021-2022 Flu Vaccine Information

Time to make sure your practice is current on the 2021-2022 codes and payment allowances for flu vaccine and administration. With the novel coronavirus continuing to circulate and cause severe illness in the United States and worldwide, getting a flu shot is once again more important than ever. The 2021–22 influenza season will coincide with […]

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AAPC Knowledge Center

AMA Issues More COVID-19 Vaccine Codes

The American Medical Association’s (AMA’s) CPT® Editorial Panel has released eight new COVID-19-related codes to report a new formulation of the Pfizer vaccine, a Moderna booster vaccine, and a Pfizer booster using either the new or old formulation. These codes are in addition to the four new CPT codes released last month and the many […]

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AAPC Knowledge Center

COVID-19 Vaccine Boosters Covered by Medicare

Make sure claims and documentation support medical necessity. Healthcare providers have been given the go-ahead to provide an additional dose of the COVID-19 vaccine to certain patients. Here’s what you need to know for Medicare claims. The U.S. Food and Drug Administration (FDA) amended the emergency use authorization for both the Pfizer BioNTech COVID-19 vaccine […]

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AAPC Knowledge Center

Get Paid for Noncovered COVID-19 Vaccine Fees

HHS program reimburses healthcare providers and facilities for testing, treatment, and vaccine administration fees associated with insured patients. On May 3, 2021, the U.S. Department of Health and Human Services (HHS), through the Health Resources and Services Administration (HRSA), announced the new COVID-19 Coverage Assistance Fund (CAF) program that covers costs of administering COVID-19 vaccines […]

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AAPC Knowledge Center

CMS Increases COVID-19 Vaccine Admin Fee

New payment rates are effective immediately. The Medicare payment amount for administering the COVID-19 vaccine is increased, effective March 15, 2021. The national average for physicians, hospitals, pharmacies, and other immunizers to administer the COVID-19 vaccine is now approximately $ 12 more for the administration of single-dose vaccines and $ 35 more for the the administration of […]

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AAPC Knowledge Center

AMA Releases COVID-19 Vaccine Code for Janssen

A fourth COVID-19 vaccine code has been released by the American Medical Association’s CPT® Editorial Panel, along with a proprietary administration code.   The AMA released on Jan. 19, 2021, CPT® code 91303 Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, DNA, spike protein, adenovirus type 26 (Ad26) vector, preservative free, 5×1010 […]

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