But, you cant charge your patients or ask them to submit a claim to Medicare or another insurer. I verify that Im in the U.S. and agree to receive communication from the AMA or third parties on behalf of AMA. Data were analyzed thematically using both deductive coding techniques and cross comparative analysis. Officials and members gather to elect officers and address policy at the 2023 AMA Annual Meeting being held in Chicago, June 9-14, 2023. Ongoing E/M overhaul seeks consistency across care settings, How physicians can fight back against payer downcoding schemes, What doctors wish patients knew about long COVID-19 brain fog, Why Minnesota changed key query to promote physician well-being, Want to switch residency programs? Patients can get the COVID-19 vaccine, including additional doses and booster doses (includes bivalent or updated vaccine), without a physicians order or supervision, and they pay nothing for the vaccine and its administration. In this episode of Making the Rounds, learn about one resident's experience of not matching, offering insight on coping and how unmatched applicants can find a position. You may use roster billing format or submit individual claims using the CMS-1500 form (PDF) or the 837P electronic format. AHA does not claim ownership of any content, including content incorporated by permission into AHA produced materials, created by any third party and cannot grant permission to use, distribute or otherwise reproduce such third party content. or Access a file with the new CPT codes for testing and vaccine products and vaccine administrations. You must operate in at least 3 MAC jurisdictions. website belongs to an official government organization in the United States. You can bill for up to 5 vaccine administration services only when fewer than 10 Medicare patients get a COVID-19 vaccine dose on the same day at the same group living location. Unspecified US COVID-19 Vaccine CVX Code; CVX Short Description CVX Code CVX Long Description Note Vaccine Status; SARS-COV-2 (COVID-19) vaccine, UNSPECIFIED For Medicare Advantage patients, RHCs and FQHCs should submit COVID-19 vaccine administration claims to the Medicare Advantage Plan. There is no cost. In addition, codes 0164A, 0173A, 91316 and 91317 were effective on Dec. 8, 2022. I verify that Im in the U.S. and agree to receive communication from the AMA or third parties on behalf of AMA. Learn more with the AMA. The new national rate for the first dose, second dose, and single dose vaccines will be $40.00 effective for DOS on or after March 15, 2021. If you want to administer the vaccine for free, you dont have to submit a claim to Medicare, Medicaid, or another insurer. Labeler Name. The appropriate CPT code for the product- and dose-specific COVID-19 vaccine administration The HCPCS Level II code M0201 for the additional payment amount for administering the COVID-19 vaccine in the home You should only bill for the additional in-home payment amount if the sole purpose of the visit is to administer a COVID-19 vaccine. Vaccine/Procedure Name. The appropriate CPT code for the product- and dose-specific COVID-19 vaccine administration, The HCPCS Level II code M0201 for the additional payment amount for administering the COVID-19 vaccine in the home. Read the House of Delegates (HOD) speakers' updates for the 2023 Annual HOD Annual Meeting. Use this AMA tool to determine the appropriate CPT code combination for the type and dose of vaccine being used. lock The files in the Downloads section below contain information on the ICD-10-PCS COVID-19 updates effective with discharges on and after January 1, 2021. You can bill for up to 5 vaccine administration services only when fewer than 10 Medicare patients get a COVID-19 vaccine dose on the same day at the same group living location. The AMAs work on streamlining documentation and reducing note bloat is far from over. Toll Free Call Center: 1-877-696-6775, Enrollment for Administering COVID-19 Vaccines, most current list of billing codes, payment allowances, and effective dates, Health Resources & Services Administration (HRSA) COVID-19 Coverage Assistance Fund, Health Insurance Claim Form (CMS-1500) (PDF), Between June 8, 2021, and August 24, 2021, $35 in-home additional payment + (2 x $40 for each COVID-19 vaccine dose) = $115, (2 x $35 in-home additional payment) + (2 x $40 for each COVID -19 vaccine dose) = $150, (5 x $35 in-home additional payment) + (9 x $40 for each COVID -19 vaccine dose) = $535, (12 x $35 in-home additional payment) + (12 x $40) = $900, (5 x each COVID -19 vaccine dose $35 in-home additional payment for the single communal space) + (3 x $35 in-home additional payment for each of the individual homes) + (8 x $40 for each COVID -19 vaccine dose) = $600, Administer the vaccine with no out-of-pocket cost to your patients for the vaccine or administration of the vaccine, Vaccinate everyone, including the uninsured, regardless of coverage or network status, Charge your patients for an office visit or other fee if COVID-19 vaccination is the only medical service given, Require additional medical or other services during the visit as a condition for getting a COVID-19 vaccination, You must be a Medicare-enrolled provider to bill Medicare for administering COVID-19 vaccines to Medicare patients. Verify the insurance information: You may use roster billing format, or submit individual claims. NOTE: Each COVID-19 vaccine administration rate code above represents a distinct COVID-19 vaccine administration CPT code. Findings: Findings show that novice principals tended to rely on dispositional factors to respond to the crisis. The file contains all the SARS-CoV-2-related CPT codes, some of which may not be in the 2022 CPT data file, and includes: As new SARS-CoV-2-related CPT codes are approved by the CPT Editorial Panel, the AMA will publish updates to these files. See, You were able torequest reimbursement through the, They only have Medicare Part A but not Part B coverage (or supplemental coverage for Part B services, like vaccine administration), Their insurance doesnt include the COVID-19 vaccine administration fees as a covered benefit (like Medicare Part A only), Their health insurance covers the COVID-19 vaccine administration but with cost sharing, If your patients dont have any health insurance, you were able torequest payment through the, If you have questions about billing or payment for administering the vaccine to patients with private insurance or Medicaid, contact the health plan or, Patients without health insurance can also get the COVID-19 vaccine and administration at no cost. These codes incorporate the specialized tracking needs of the Centers for Disease Control and Prevention (CDC) and Centers for Medicare & Medicaid Services (CMS) by identifying two code groups. Get the, If you administer pediatric doses,bill the appropriate billing code for administering all pediatric doses consistent with the, If you administer booster doses, including bivalent or updated vaccine doses, bill the appropriate billing code for administering all booster doses consistent with the. These rates will also be geographically adjusted for many providers. The goal of the Reimagining Residency grant program is to transform residency training to best address the workplace needs of our current and future health care system. Noncommercial use of original content on www.aha.org is granted to AHA Institutional Members, their employees and State, Regional and Metro Hospital Associations unless otherwise indicated. CPT Codes reported are: 99393 - Preventive service 90649 - HPV vaccine 90460 - Administration first component (1 unit) 90715 - Tdap vaccine 90460 - Administration first component (1. Review and download the full CPT code descriptor release. Link both the CPT vaccine product code and the CPT immunization administration code to Z23. Coding for Certain COVID-19 Treatments. Washington, D.C. 20201 Before sharing sensitive information, make sure youre on a federal government site. LTATB AFSU 01/11/2021; 02/05/2021; 03/04/2021; 03/30/2021; 08/19/2021; 10/20/2021 COVID-19 Vaccination Billing Resources for Local Health Departments October 20, 2021 Cost How much will the vaccines cost? The new CPT codes clinically distinguish each coronavirus vaccine for better tracking, reporting and analysis that supports data-driven planning and allocation. 3 | RURAL HEALTH CLINICS BILLING GUIDE COVID-19 BILLING See the Health Care Authority's . If you want to administer the vaccine for free, you dont have to submit a claim to Medicare, Medicaid, or another insurer. The file contains the SARS-CoV-2-related CPT codes released since the 2021 data file release on Aug. 31, 2020 and includes: Visit the COVID-19 CPT vaccine and immunization codes page for more information and to download the files. ) Additional Coding for Hospital Inpatient Claims. Officials and members gather to elect officers and address policy at the 2023 AMA Annual Meeting being held in Chicago, June 9-14, 2023. Members will have no cost-sharing on vaccines from in- and out-of-network providers through Dec. 31, 2021. As such, the only immunization administration codes previously available for patients 19 years and older were codes that did not include vaccine counseling. But, you cant charge your patients or ask them to submit a claim to Medicare or another insurer. Explore reports on this topic from the Council on Medical Education presented during the AMA Interim and Annual Meetings. Council on Long Range Planning & Development, CPT Assistant provides guidance for new codes, Coronavirus (SARS-CoV-2) vaccine: Long descriptors, Coronavirus (SARS-CoV-2) vaccine : Medium descriptors, Coronavirus (SARS-CoV-2) vaccine: Short descriptors, Download the December 2022 special edition of the CPT Assistant guide, Download the November 2022 special edition of the CPT Assistant guide, Download the October 2022 special edition of the CPT Assistant guide, Download the September 2022 special edition of the CPT Assistant guide, Download the July 2022 special edition of the CPT Assistant guide, Download the June 2022 special edition of the CPT Assistant guide, Download the May 2022 special edition of the CPT Assistant guide, Download the April 2022 special edition of the CPT Assistant guide, Download the March 2022 special edition of the CPT Assistant guide, Download the February 2022 special edition of the CPT Assistant guide, Download the January 2022 special edition of the CPT Assistant guide, Download the November 2021 special edition of the CPT Assistant guide, Download the October 2021 special edition of the CPT Assistant guide, Download the September 2021 special edition of the CPT Assistant guide, Download the May 2021 special edition of the CPT Assistant guide, Download the January 2021 special edition of the CPT Assistant guide, Download the December 2020 special edition of the CPT Assistant guide, Download the November 2020 special edition of the CPT Assistant guide, Connecting Promise and Practice: The Trajectory of Digitally Enabled Care, How the CPT code set can be used to help advance health equity, What doctors wish patients knew about long COVID-19 brain fog, Why Minnesota changed key query to promote physician well-being, Want to switch residency programs? Download the latest guides and resources for telehealth services. Share sensitive information only on official, secure websites. 0 For hospice patients under Part B only, you must include the GW modifier on COVID-19 vaccine administration claims if either of these apply: For Original Medicare patients, Medicare paysRural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) for administering COVID-19 vaccines at 100% of reasonable cost through the cost report. Get the, If you administer pediatric doses,bill the appropriate billing code for administering all pediatric doses consistent with the, If you administer booster doses, including bivalent or updated vaccine doses, bill the appropriate billing code for administering all booster doses consistent with the. AMA members get discounts on prep courses and practice questions. . Do not report immunization administration codes 90460 and 90461 or 90471-90474 for the administration of a COVID-19 vaccine product. Additionally, it is expected that additional CPT or HCPCS codes may be released as vaccination efforts proceed and potential new vaccines are approved. CPT Assistant provides fact sheets for coding guidance for new SARS-CoV-2 (COVID-19)-related vaccine codes. The AMA promotes the art and science of medicine and the betterment of public health. The HOD speakers welcome comments for reports under development for the upcoming Interim and Annual Meetings. For a current listing of COVID-19 vaccine product and administration codes, please visit,Appendix Q: COVID-19 Vaccines. When the government provides COVID-19 vaccines at no cost, only bill for the vaccine administration. Administration Codes 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 Find an overview of AMA efforts and initiatives to help improv GME. Read the House of Delegates (HOD) speakers' updates for the 2023 Annual HOD Annual Meeting. Think of the AMA as your ally while preparing for the USMLE and COMLEX-USA. CMS systems will accept roster bills for 1 or more patients that get the same type of shot on the same date of service. Find information about the summary of panel actions, a document prepared after each meeting of the CPT editorial panel. For dates of service between June 8, 2021, and August 24, 2021, you should bill for the additional payment amount of approximately $35 only once per date of servicein that home regardless of how many Medicare patients get the vaccine. Download the December 2022 special edition of the CPT Assistant guide (PDF, includes information on SARS-CoV-2 vaccines codes (0173A, 91317), Download the November 2022 special edition of the CPT Assistant guide(PDF, includes information on SARS-CoV-2 vaccines codes (91316, 0164A), Download the October 2022 special edition of the CPT Assistant guide(PDF, includes information on SARS-CoV-2 vaccines codes 0044A), Download the September 2022 special edition of the CPT Assistant guide (PDF, includes information on SARS-CoV-2 vaccines codes 0124A , 0134A , 0144A , 0154A , 91312 , 91313 , 91314 , 91315 ), Download the July 2022 special edition of the CPT Assistant guide (PDF, includes information on SARS-CoV-2 vaccines codes 0091A , 0092A , 0093A , 0113A ), Download the June 2022 special edition of the CPT Assistant guide(PDF, includes information on SARS-CoV-2 vaccines code 0083A ), Download the May 2022 special edition of the CPT Assistant guide(PDF, includes information on SARS-CoV-2 vaccines codes, 0111A , 0112A , 91311 ), Download the April 2022 special edition of the CPT Assistant guide(PDF, includes information on SARS-CoV-2 vaccines codes, 0074A , 0104A , 91310 ), Download the March 2022 special edition of the CPT Assistant guide (PDF, includes information on SARS-CoV-2 vaccines codes 0094A , 91309 ), Download the February 2022 special edition of the CPT Assistant guide (PDF, includes information on SARS-CoV-2 Vaccines codes 0081A , 0082A , 91308 ), Download the January 2022 special edition of the CPT Assistant guide (PDF, includes information on code 0073A ), Download the November 2021 special edition of the CPT Assistant guide (PDF, includes information on SARS-CoV-2 Vaccines code 0034A ), Download the October 2021 special edition of the CPT Assistant guide (PDF, includes information on SARS-CoV-2 Vaccines on codes 91307 , 0071A , 0072A ), Download the September 2021 special edition of the CPT Assistant guide (PDF, includes information on SARS-CoV-2 Vaccines on codes 91305 , 91306 , 0051A , 0052A , 0053A , 0054A , 0064A ), Download the May 2021 special edition of the CPT Assistant guide (PDF, includes information on SARS-CoV-2 Vaccines on codes 91304 , 0041A , 0042A ), Download the January 2021 special edition of the CPT Assistant guide (PDF, includes information on SARS-CoV-2 Vaccines on codes 91303 , 0031A ), Download the December 2020 special edition of the CPT Assistant guide (PDF includes information on codes 91302, 0021A , 0022A ), Download the November 2020 special edition of the CPT Assistant guide (PDF, includes information on SARS-CoV-2 Vaccines). All rights reserved. When administering the new COVID-19 vaccines, only the immunization administration code (0001A, 0002A, 0011A, 0012A, 0021A, 0022A, 0031A, etc.) CPT Assistant is providing fact sheets for coding guidance for new SARS-CoV-2 (COVID-19)-related testing codes. Original Medicare wont pay these claims. If your patients only have Part A Medicare coverage, ask if they have other medical insurance to cover Part B services, like vaccine administration. Bill the HCPCS Level II code (M0201) only 1 time for the additional payment rateif the date of service is between June 8, 2021, and August 24, 2021. All rights reserved. Beginning Aug. 11, 2022, for dates of service on or after July 13, 2022, reimbursement rates for COVID-19 vaccine administration procedure codes 0041A and 0042A will be implemented for Texas Medicaid, the Children with Special Health Care Needs (CSHCN) Services Program, Healthy Texas Women (HTW), and the Family Planning Program (FPP). Download the latest guides and resources for telehealth services. Oct 11, 2021 - 12:56 PM. In this episode of Making the Rounds, learn about one resident's experience of not matching, offering insight on coping and how unmatched applicants can find a position. This new format includes all seasonal influenza vaccines for the 2022/2023 season in a single Excel crosswalk table that provides the CVX, MVX, NDC Unit of Sale, NDC Unit of Use, and CPT (*) codes for each vaccine. Find COVID-19 vaccine CPT codes Use this AMA tool to determine the appropriate CPT code combination for the type and dose of vaccine being used. The .gov means its official. specific to the product and dose in the series needs to be reported at this time. 7500 Security Boulevard, Baltimore, MD 21244, An official website of the United States government, Medicare Billing for COVID-19 Vaccine Shot Administration, Enrollment for Administering COVID-19 Vaccine Shots, SNF: Enforcement Discretion Relating to Certain Pharmacy Billing, Beneficiary Incentives for COVID-19 Vaccine Shots, CMS Quality Reporting for COVID-19 Vaccine Shots, New COVID-19 Treatments Add-On Payment (NCTAP), Enrollment for Administering COVID-19 Vaccines, most current list of billing codes, payment allowances, and effective dates, Health Resources & Services Administration (HRSA) COVID-19 Coverage Assistance Fund, Health Insurance Claim Form (CMS-1500) (PDF), Between June 8, 2021, and August 24, 2021, $35 in-home additional payment + (2 x $40 for each COVID-19 vaccine dose) = $115, (2 x $35 in-home additional payment) + (2 x $40 for each COVID -19 vaccine dose) = $150, (5 x $35 in-home additional payment) + (9 x $40 for each COVID -19 vaccine dose) = $535, (12 x $35 in-home additional payment) + (12 x $40) = $900, (5 x each COVID -19 vaccine dose $35 in-home additional payment for the single communal space) + (3 x $35 in-home additional payment for each of the individual homes) + (8 x $40 for each COVID -19 vaccine dose) = $600, Administer the vaccine with no out-of-pocket cost to your patients for the vaccine or administration of the vaccine, Vaccinate everyone, including the uninsured, regardless of coverage or network status, Charge your patients for an office visit or other fee if COVID-19 vaccination is the only medical service given, Require additional medical or other services during the visit as a condition for getting a COVID-19 vaccination, You must be a Medicare-enrolled provider to bill Medicare for administering COVID-19 vaccines to Medicare patients. Providersenrolled as centralized billerscan submit a professional claim to Novitas, regardless of where you administered the vaccines. Original Medicare wont pay these claims. The AMA is your steadfast ally from classroom to Match to residency and beyond. If you participate in theCDC COVID-19 Vaccination Program, you must: Report any potential violations of these requirements to the HHS Office of Inspector General: View the infographic (English (PDF)) (Spanish (PDF)) for COVID-19 vaccine administration in the home. Copyright 1995 - 2023 American Medical Association. Until the PHE ends, you should include modifier CR on your claim only if you administer the COVID-19 vaccine at a temporary location that isnt considered your actual practice location. Pre-exposure prophylaxis is one of the Affordable Care Act (ACA) preventive services at risk in federal court, says Stephen Parodi, MD. Claims must contain both administration codes and vaccine codes to pay. IMMUNIZATION ADMINISTRATION. hb```f`` Ab,78(``.iIBr\qd6mBM{$% J@ T X @.7K^,byQgY2f,` The U.S. Food and Drug Administration (FDA) has authorized amended versions of its emergency use authorizations (EUA) for the administration of COVID-19 vaccines for the prevention of COVID-19 infection.Effective October 19, 2022, the FDA revised the EUA for the adjuvanted Novavax COVID-19 vaccine. The data is shocking. For more details on the codes, visit AMAs webpage. coding. These CPT codes are unique for each coronavirus vaccine as well as administration codes unique to each such vaccine. Claims for first vaccine dose must have been processed in NCTracks prior to processing a claim for second dose. Learn more. See section C above regarding COVID-19 vaccine counseling. CPT codes have been created for reporting of immunizations for the novel coronavirus (SARS-CoV-2, also known as COVID-19). HCPCS / CPT codes: When the COVID-19 vaccine is provided by the government without charge, only bill for the vaccine administration. See, You were able torequest reimbursement through the, They only have Medicare Part A but not Part B coverage (or supplemental coverage for Part B services, like vaccine administration), Their insurance doesnt include the COVID-19 vaccine administration fees as a covered benefit (like Medicare Part A only), Their health insurance covers the COVID-19 vaccine administration but with cost sharing, If your patients dont have any health insurance, you were able torequest payment through the, If you have questions about billing or payment for administering the vaccine to patients with private insurance or Medicaid, contact the health plan or, Patients without health insurance can also get the COVID-19 vaccine and administration at no cost. CMS and the AMA developed this code structureto make claims processingfor COVID-19 vaccines and monoclonal antibody infusions that get FDA EUA or FDA approval more efficient. CPT codes have been created for reporting of immunizations for the novel coronavirus (SARS-CoV-2, also known as COVID-19). Learn more with the AMA. If so, submit your COVID-19 vaccine administration claims to the insurance company. Modifiers 2023 by the American Hospital Association. The new CPT codes clinically distinguish each COVID-19 vaccine for better tracking, reporting and analysis that supports data-driven planning and allocation. endstream endobj startxref https:// AMA SPS member Mary K. McCarthy, MD, discusses the activities and efforts of the Committee on Senior Physicians at the Oregon Medical Association. Sign up to get the latest information about your choice of CMS topics. We'll issue specific code descriptors in the future. Medicare Part B immunization billing Vaccine and vaccine administration payments under Medicare Part D Vaccine mapping information - CPT and ICD-10 Commonly administered pediatric vaccines and codes. When the government provides COVID-19 vaccines at no cost, only bill for the vaccine administration. In addition to the requirements listed above, you must meet several other requirements to bill for the additional in-home payment amount for administering the COVID-19 vaccine to a Medicare patient: 1Includes a communal space in a group living situation2Could be an individual living unit or a communal space in a group living situation3You can only bill for 1 home add-on payment in this situation because you vaccinated 10 or more Medicare patients at the same group living location on the same date4In other words, each vaccine administered in a distinct individual living unit or communal space of a group living situation. Providers administering the vaccine to people without health insurance were able to request reimbursement for the administration of the COVID-19 vaccine through the Health Resources & Services Administration (HRSA) COVID-19 Uninsured Program . Learn more with the AMA. 19 A multisite cohort surveillance study 18 conducted in January 2021, including HCWs from 20 EDs, found that 65.4% of Black HCWs received the COVID-19 vaccine compared with 88.5% of White HCWs. Access reports from the Council on Medical Education presented during the AMA Annual and Interim Meetings. lock The, A new video from AHA and the Childrens Hospital Association is reminding the public how vaccines and boosters are safe, effective means for preventing, In a new public service announcement, leaders of the AHA, American Medical Association and American Nurses Association encourage the public to get vaccinated, When the omicron BA.4/BA.5 variants were circulating, Americans who received an updated COVID-19 vaccine were 14 times less likely to die than those who, The Food and Drug Administration last week removed the requirement for a positive COVID-19 test result to prescribe Paxlovidto certain adult and, AMA publishes eight new CPT codes for the COVID-19 vaccine administration, Updates and Resources on Novel Coronavirus (COVID-19), Institute for Diversity and Health Equity, Rural Health and Critical Access Hospitals, National Uniform Billing Committee (NUBC), AHA Rural Health Care Leadership Conference, Individual Membership Organization Events, The Important Role Hospitals Have in Serving Their Communities, Study: COVID-19 vaccine effectiveness may wane in younger children as well, In time for Valentines Day, AHA issues supplemental toolkit on COVID-19 vaccines, Video: AHA, CHA urge vaccination to prevent COVID-19, flu and RSV infections, AHA, AMA and ANA remind Americans to get COVID-19 vaccine, updated booster, CDC: Vaccinated Americans up to 14 times less likely to die from COVID-19, FDA removes positive test requirement for two COVID-19 outpatient therapies, American Organization for Nursing Leadership. The COVID-19 vaccine administration CPT codes above include the actual work of administering the vaccine, including all necessary counseling provided to patients and/or caregivers for the dose administered, required vaccination reporting, and updating of electronic records. Between 8 December 2020 and 15 February 2021, 1,137,775 participants were vaccinated in the study, 490,000 of . Council on Long Range Planning & Development, CPT Assistant provides guidance for new codes. Before you submit a Medicare claim for administering COVID-19 vaccines, you must find out if: You must gather information both from patients with Original Medicare and those enrolled in Medicare Advantage plans. An endocrinologist shares necessary steps to take to protect your kidneys. The goal of the Reimagining Residency grant program is to transform residency training to best address the workplace needs of our current and future health care system. Download AMA Connect app for Reimbursement Rates for Vaccine Administration Codes Manufacturer FDA EUA Effective Date Vaccine CPT Code Reimbursement for Vaccine Vaccine Administration CPT Code 2020 Rates 1/1/2021 - 3/14/2021 iPhone or AMA members get discounts on prep courses and practice questions. Modifiers CMS systems will accept roster bills for 1 or more patients that get the same type of shot on the same date of service. After the FDA issues an emergency use authorization (EUA) or approveslicensure of each COVID-19 vaccine product, CMS will identify the following for Medicare payment: CMS and the American Medical Association (AMA) collaborated on a new approach to report use of COVID-19 vaccines. For Medicare Advantage patients, RHCs and FQHCs should submit COVID-19 vaccine administration claims to the Medicare Advantage Plan. If you have temporary billing privileges because of the public health emergency (PHE) and you have 1 National Provider Identifier (NPI) tied to multiple Provider Transaction Access Numbers (PTANs), use the taxonomy code on your claim to help you assign the correct PTAN. COVID-19 Diagnostic Test Specimen Collection Coding. Federal government websites often end in .gov or .mil. The American Medical Association approved two coronavirus vaccine CPT Codes, 91300 and 91301. Insurance accepted at local public health agencies Medicare effective dates for the codeswill match with the date of the FDA EUA or FDA approval. The current CPT codes are not appropriate for COVID vaccination, and the 2021 codes may not be in the system. 203 0 obj <>/Filter/FlateDecode/ID[<8ADDEBEB1BD3F54BBABEC6CAFBB1E90E><22F0AB4C7236BB4FA0B5D238612B007C>]/Index[171 60]/Info 170 0 R/Length 142/Prev 298349/Root 172 0 R/Size 231/Type/XRef/W[1 3 1]>>stream If the only service provided is COVID-19 immunization administration and related vaccine counseling, no other code besides the appropriate administration code may be reported.

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