Newly Added CPT Codes for COVID-19 Vaccines - PowerPoint PPT Presentation

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Newly Added CPT Codes for COVID-19 Vaccines

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The new CPT codes clinically distinguish each coronavirus vaccine for better tracking, reporting, and analysis that supports data-driven planning and allocation.  – PowerPoint PPT presentation

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Title: Newly Added CPT Codes for COVID-19 Vaccines


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Newly Added CPT Codes for COVID-19 Vaccines
  • Working closely with the Centers for Disease
    Control and Prevention, the AMA CPT Editorial
    Panel approved unique CPT Codes for COVID-19
    vaccines as well as administration. The new CPT
    codes clinically distinguish each coronavirus
    vaccine for better tracking, reporting, and
    analysis that supports data-driven planning and
    allocation. Newly added CPT codes and their
    descriptors are as follows
  • CPT Code for COVID-19 Vaccines
  • If you receive the COVID-19 Vaccine from the
    government to administer to patients, remember to
    only bill the vaccine administration codes when
    submitting claims. You cant include the vaccine
    CPT codes when the Coronavirus vaccines are free.
    Proper medical billing for the Coronavirus
    vaccine is important for not only reimbursement
    but governmental reporting purposes.
  • 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 dosages, 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 dosages, for
    intramuscular use.

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Newly Added CPT Codes for COVID-19 Vaccines
  • 91302 Severe acute respiratory syndrome
    coronavirus 2 (SARS-CoV-2) (coronavirus disease
    COVID-19) vaccine, DNA, spike protein,
    chimpanzee adenovirus Oxford 1 (ChAdOx1) vector,
    preservative-free, 51010 viral particles/0.5mL
    dosage, for intramuscular use.
  • 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, 51010 viral particles/0.5mL
    dosage, for intramuscular use.
  • 91304 Severe acute respiratory syndrome
    coronavirus 2 (SARS-CoV-2) (coronavirus disease
    COVID-19) vaccine, recombinant spike protein
    nanoparticle, saponin-based adjuvant,
    preservative-free, 5 mcg/0.5mL dosages, for
    intramuscular use.
  •  
  • CPT Codes for COVID-19 Vaccines Administration
  • Vaccine administration codes report the work of
    administering the vaccine, counseling the patient
    or caregiver, and documenting the medical record.
    The vaccine administration code is based on the
    manufacturer plus the number of doses.

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Newly Added CPT Codes for COVID-19 Vaccines
  • 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 dosages, diluent reconstituted first
    dose. (The 0001A COVID-19 vaccine administration
    CPT code is for the first dose of the Pfizer
    vaccine only)
  • 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 dosages, diluent reconstituted second
    dose. (The 0002A COVID-19 vaccine administration
    CPT code is for the second dose of the Pfizer
    vaccine only)
  • 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 dosages first dose. (The 0011A
    COVID-19 vaccine administration CPT code is for
    the first dose of the Moderna vaccine only)
  • 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 dosages second dose. (The 0012A
    COVID-19 vaccine administration CPT code is for
    the second dose of the Moderna vaccine only)

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Newly Added CPT Codes for COVID-19 Vaccines
Billing for Dose I and Dose II
Pfizer, I Dose Pfizer II Dose Moderna I Dose Moderna II Dose
Vaccine CPT 91300 91300 91301 91301
Administration CPT 0001A 0002A 0011A 0012A
Diagnosis Z23 Z23 Z23 Z23
NDC 59267-1000-01 59267-1000-01 80777-0273-10 80777-0273-10
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Newly Added CPT Codes for COVID-19 Vaccines
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