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FDA Updates EUAs for Pediatric Bivalent Vaccines

Watch new code descriptors for the terms ‘booster’ and ‘third dose.’ On Dec. 8, the U.S. Food and Drug Administration amended the emergency use authorizations (EUAs) of the bivalent Moderna and Pfizer-BioNTech COVID-19 vaccines. Healthcare providers can now administer these boosters to patients 6 months of age and older. Here’s how to code the supply […]

The post FDA Updates EUAs for Pediatric Bivalent Vaccines appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

6 New CPT Codes for COVID-19 Vaccines

How to Bill for Coronavirus Vaccine CPT codes 91300 and 91301

Coronavirus Vaccine Update – Billing Codes Just Released

The American Medical Association approved two coronavirus vaccine CPT Codes, 91300 and 91301. Two codes are being used to better track, report, and analyze data for the planning and allocation of vaccines for coronavirus.

Four vaccine administration codes, 0001A, 0002A, 0011A, and 0012A have also been added. These administration codes are specific to each of the two vaccines and whether it is the first or second dose given to the patient.

How to bill for Coronavirus Vaccines.

CPT Code for Coronavirus Vaccine

91300

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, preservative free, 30 mcg/0.3mL dosage, diluent reconstituted, for intramuscular use

91301  

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, preservative free, 100 mcg/0.5mL dosage, for intramuscular use

COVID-19 Vaccine Administration Codes

The coronavirus vaccine administration codes are specific to the coronavirus vaccine and the dosage. Vaccine administration codes report the work of administering the vaccine, counseling the patient or caregiver, and documenting the medical record.

0001A

Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, preservative free, 30 mcg/0.3mL dosage, diluent reconstituted; first dose

0002A

Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, preservative free, 30 mcg/0.3mL dosage, diluent reconstituted; second dose

0011A

Immunization administration by intramuscular injection of Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, preservative free, 100 mcg/0.5mL dosage; first dose

0012A

Immunization administration by intramuscular injection of Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, preservative free, 100 mcg/0.5mL dosage; second dose

More coronavirus vaccine news to come.

Have you added these codes to your EHR and medical billing software? Leave a comment below.

— This post 6 New CPT Codes for COVID-19 Vaccines was written by Manny Oliverez and first appeared on CaptureBilling.com – Medical Billing Services. Capture Billing is a medical billing company helping medical practices get their insurance claims paid faster, easier and with less stress allowing doctors to focus on their patients.

CaptureBilling.com – Medical Billing Services

CPT Codes for COVID-19 Vaccines

The American Medical Association approved two coronavirus vaccine CPT Codes, 91300 and 91301. Two codes are being used to better track, report, and analyze data for the planning and allocation of vaccines.

Four vaccine administration codes, 0001A, 0002A, 0011A, and 0012A have also been added. These administration codes are specific to each of the two vaccines and whether it is the first or second dose given to the patient.

How to bill for Coronavirus Vaccines.

CPT Code for Coronavirus Vaccine

91300

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, preservative free, 30 mcg/0.3mL dosage, diluent reconstituted, for intramuscular use

91301  

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, preservative free, 100 mcg/0.5mL dosage, for intramuscular use

COVID-19 Vaccine Administration Codes

The coronavirus vaccine administration codes are specific to the coronavirus vaccine and the dosage. Vaccine administration codes report the work of administering the vaccine, counseling the patient or caregiver, and documenting the medical record.

0001A

Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, preservative free, 30 mcg/0.3mL dosage, diluent reconstituted; first dose

0002A

Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, preservative free, 30 mcg/0.3mL dosage, diluent reconstituted; second dose

0011A

Immunization administration by intramuscular injection of Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, preservative free, 100 mcg/0.5mL dosage; first dose

0012A

Immunization administration by intramuscular injection of Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, preservative free, 100 mcg/0.5mL dosage; second dose

Have you added these codes to your EHR and medical billing software?

— This post CPT Codes for COVID-19 Vaccines was written by Manny Oliverez and first appeared on CaptureBilling.com – Medical Billing Services. Capture Billing is a medical billing company helping medical practices get their insurance claims paid faster, easier and with less stress allowing doctors to focus on their patients.

CaptureBilling.com – Medical Billing Services

UHC – Reimbursement Update to Vaccines for CPT 90461


As part of the Patient Protection and Affordable Care Act (PPACA) regulations, CPT code 90461 is not reimbursable for vaccines administered to Medicaid members through the Vaccines for Children (VFC) program in Florida. Beginning Aug. 15, 2019, any claim line billed for this code will be denied

Source: https://www.uhcprovider.com/content/provider/en/viewer.html?file=%2Fcontent%2Fdam%2Fprovider%2Fdocs%2Fpublic%2Fresources%2Fnews%2F2019%2Fnetwork-bulletin%2FSeptember-2019-Network-Bulletin.pdf

Also click here to review the state wise guidelines


Coding Ahead

Discussion of vaccines for travel

Hi everyone…hoping you can help.

We saw a patient that is traveling out of the country and wanted to discuss recommended travel vaccines with our physician; we are her PCP. The patient has original Medicare so my concern is the Dx codes that my provider used; Z71.89 Other specified counseling and Z11.59 Encounter for screening for other viral diseases. I can’t find another code to use in place of these Z codes and I’m concerned this won’t get paid with Medicare. There was nothing else discussed.

Advice?? I appreciate any feedback…

Medical Billing and Coding Forum

AMA Asks Social Media Platforms to Promote Vaccines

The American Medical Association (AMA) issued a press release March 13 to announce its latest advocacy for vaccination: As some technology companies have announced steps to combat the spread of vaccine misinformation, the American Medical Association (AMA) today issued a letter to the CEOs of six of the country’s leading social media and technology companies […]

The post AMA Asks Social Media Platforms to Promote Vaccines appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

Medicare payment allowances for flu vaccines


The Medicare Part B payment allowances for dates of service of August 1, 2018, through July 31, 2019 is furnished below. The allowances are still pending for the following codes 90630, 90653, 90654, 90655, 90656, 90657, 90661, 90662, 90672, 90673, 90674, 90682, 90685, 90686, 90687, 90688, 90756, Q2036, Q2037, and Q2038.

90653 Fluad $ 54.67 
90656 Afluria $ 19.77 
90662 Fluzone High-Dose $ 53.37 
90674 Flucelvax Quadrivalent $ 24.05 
90682 Flublok Quadrivalent $ 53.37 
90685 Fluzone Quadrivalent Pediatric $ 21.81 
90686 Afluria Quadrivalent, Fluarix Quadrivalent, Flulaval Quadrivalent, Fluzone Quadrivalent [Preservative Free] $ 19.03 
90687 Fluzone Quadrivalent Pediatric $ 9.40 
90688 Afluria Quadrivalent, Flulaval Quadrivalent, Fluzone Quadrivalent $ 17.84 
90756 Flucelvax Quadrivalent $ 22.79 
Q2035 Afluria $ 18.24 

Note: Annual Part B deductible and coinsurance amounts do not apply.


Coding Ahead

Medicare Tdap and Hep B vaccines………

I have two questions. I have researched this extensively. I just need some guidance.

1. Does Medicare pay for the Tdap or not? I was always under the understanding that Medicare does not pay for the Tdap. Ever. Just a TD if there is a injury. Then I came across this:

https://www.cms.gov/medicare-coverag…=AggAAAQBAAAA&

I thought the Tdap was not a Medicare benefit. I am so freaked out. LOL. So it can be billed? Any special way? Modifier?

2. When a (Medicare) patient has a Hep B vaccine due to a lab test showing no immunity does it need to be bill in a certain way? Special modifier?

Thank you so much!

Medical Billing and Coding Forum