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    COVID Vaccine Codes

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    Vinay Kumar
    The document lists CPT and HCPCS codes for COVID-19 vaccines and their administrations for different manufacturers, including AstraZeneca, Janssen, Moderna, Novavax, and Pfizer. It also provides the national payment allowance amounts for COVID-19 vaccines and their administrations effective March 15, 2021, ranging from $0.01 for vaccines to $40 for administrations. Finally, it includes a code and payment for COVID-19 vaccine administration inside a patient's home.

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    COVID Vaccine Codes

    Uploaded by

    Vinay Kumar
    17 views2 pages
    The document lists CPT and HCPCS codes for COVID-19 vaccines and their administrations for different manufacturers, including AstraZeneca, Janssen, Moderna, Novavax, and Pfizer. It also provides the national payment allowance amounts for COVID-19 vaccines and their administrations effective March 15, 2021, ranging from $0.01 for vaccines to $40 for administrations. Finally, it includes a code and payment for COVID-19 vaccine administration inside a patient's home.

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    COVID Vaccine Coding Information

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    The document lists CPT and HCPCS codes for COVID-19 vaccines and their administrations for different manufacturers, including AstraZeneca, Janssen, Moderna, Novavax, and Pfizer. It also provides the national payment allowance amounts for COVID-19 vaccines and their administrations effective March 15, 2021, ranging from $0.01 for vaccines to $40 for administrations. Finally, it includes a code and payment for COVID-19 vaccine administration inside a patient's home.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    17 views2 pages

    COVID Vaccine Codes

    Uploaded by

    Vinay Kumar
    The document lists CPT and HCPCS codes for COVID-19 vaccines and their administrations for different manufacturers, including AstraZeneca, Janssen, Moderna, Novavax, and Pfizer. It also provides the national payment allowance amounts for COVID-19 vaccines and their administrations effective March 15, 2021, ranging from $0.01 for vaccines to $40 for administrations. Finally, it includes a code and payment for COVID-19 vaccine administration inside a patient's home.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    of 2

    CPT Code or Labeler

    CPT or HCPCS Short Descriptor Code Type


    HCPCS Code Name

    91302 SARSCOV2 VAC 5X10^10VP/.5MLIM AstraZeneca Product


    0021A ADM SARSCOV2 5X10^10VP/.5ML 1 AstraZeneca Administration
    0022A ADM SARSCOV2 5X10^10VP/.5ML 2 AstraZeneca Administration
    91303 SARSCOV2 VAC AD26 .5ML IM Janssen Product
    0031A ADM SARSCOV2 VAC AD26 .5ML Janssen Administration
    0034A ADM SARSCOV2 VAC AD26 .5ML B Janssen Administration
    91301 SARSCOV2 VAC 100MCG/0.5ML IM Moderna Product
    0011A ADM SARSCOV2 100MCG/0.5ML1ST Moderna Administration
    0012A ADM SARSCOV2 100MCG/0.5ML2ND Moderna Administration
    0013A ADM SARSCOV2 100MCG/0.5ML3RD Moderna Administration
    91306 SARSCOV2 VAC 50MCG/0.25ML IM Moderna Product
    0064A ADM SARSCOV2 50MCG/0.25MLBST Moderna Administration
    91304 SARSCOV2 VAC 5MCG/0.5ML IM Novavax Product
    0041A ADM SARSCOV2 5MCG/0.5ML 1ST Novavax Administration
    0042A ADM SARSCOV2 5MCG/0.5ML 2ND Novavax Administration
    91300 SARSCOV2 VAC 30MCG/0.3ML IM Pfizer Product

    0001A ADM SARSCOV2 30MCG/0.3ML 1ST Pfizer Administration

    0002A ADM SARSCOV2 30MCG/0.3ML 2ND Pfizer Administration

    0003A ADM SARSCOV2 30MCG/0.3ML 3RD Pfizer Administration

    0004A ADM SARSCOV2 30MCG/0.3ML BST Pfizer Administration

    91305 SARSCOV2 VAC 30 MCG TRS-SUCR Pfizer Product

    0051A ADM SARSCV2 30MCG TRS-SUCR 1 Pfizer Administration

    0052A ADM SARSCV2 30MCG TRS-SUCR 2 Pfizer Administration

    0053A ADM SARSCV2 30MCG TRS-SUCR 3 Pfizer Administration

    0054A ADM SARSCV2 30MCG TRS-SUCR B Pfizer Administration


    91307 SARSCOV2 VAC 10 MCG TRS-SUCR Pfizer Product
    0071A ADM SARSCV2 10MCG TRS-SUCR 1 Pfizer Administration

    0072A ADM SARSCV2 10MCG TRS-SUCR 2 Pfizer Administration

    0073A ADM SARSCV2 10MCG TRS-SUCR 3 Pfizer Administration

    Home vaccine
    M0201 Covid-19 vaccine home admin Administration
    admin
    National Payment
    Allowance Effective for
    Vaccine/Procedure Name
    Claims with DOS on or
    after 03/15/2021
    AstraZeneca Covid-19 Vaccine $0.010
    AstraZeneca Covid-19 Vaccine Administration – First Dose $40.00
    AstraZeneca Covid-19 Vaccine Administration – Second Dose $40.00
    Janssen Covid-19 Vaccine[3]*** $0.010
    Janssen Covid-19 Vaccine Administration - First Dose[3]*** $40.00
    Janssen Covid-19 Vaccine Administration -  Booster ***
    [3]
    $40.00
    Moderna Covid-19 Vaccine $0.01
    Moderna Covid-19 Vaccine Administration – First Dose $40.00
    Moderna Covid-19 Vaccine Administration – Second Dose $40.00
    Moderna Covid-19 Vaccine Administration – Third Dose $40.00
    Moderna Covid-19 Vaccine (Low Dose) $0.010
    Moderna Covid-19 Vaccine (Low Dose) Administration - Booster $40.00
    Novavax Covid-19 Vaccine $0.010
    Novavax Covid-19 Vaccine Administration – First Dose $40.00
    Novavax Covid-19 Vaccine Administration – Second Dose $40.00
    Pfizer-BioNTech Covid-19 Vaccine (Purple Cap) $0.01
    Pfizer-BioNTech Covid-19 Vaccine (Purple Cap) Administration – First
    $40.00
    Dose
    Pfizer-BioNTech Covid-19 Vaccine (Purple Cap) Administration –
    $40.00
    Second Dose
    Pfizer-BioNTech Covid-19 Vaccine (Purple Cap) Administration –
    $40.00
    Third Dose
    Pfizer-BioNTech Covid-19 Vaccine (Purple Cap) Administration –
    $40.00
    Booster
    Pfizer-BioNTech Covid-19 Vaccine Pre-Diluted (Gray Cap) $0.010
    Pfizer-BioNTech Covid-19 Vaccine Pre-Diluted (Gray Cap)
    $40.00
    Administration - First dose
    Pfizer-BioNTech Covid-19 Vaccine Pre-Diluted (Gray Cap)
    $40.00
    Administration - Second dose
    Pfizer-BioNTech Covid-19 Vaccine Pre-Diluted (Gray Cap)
    $40.00
    Administration - Third dose
    Pfizer-BioNTech Covid-19 Vaccine Pre-Diluted (Gray Cap)
    $40.00
    Administration - Booster
    Pfizer-BioNTech Covid-19 Pediatric Vaccine (Orange Cap) $0.010
    Pfizer-BioNTech Covid-19 Pediatric Vaccine (Orange Cap) - $40.00
    Administration - First dose
    Pfizer-BioNTech Covid-19 Pediatric Vaccine (Orange Cap) - $40.00
    Administration - Second dose
    Pfizer-BioNTech Covid-19 Pediatric Vaccine (Orange Cap) - $40.00
    Administration - Third dose
    Covid-19 vaccine administration inside a patient's home; reported only
    once per individual home per date of service when only covid-19 $35.50
    vaccine administration is performed at the patient's home

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