COVID-19 Vaccines
March 10th, 2021 - Christine Woolstenhulme, QCC, QMCS, CPC, CMRS
To accommodate the new COVID-19 immunizations the CPT editorial panel has approved 11 Category I codes. Watch for new and revised guidelines and parenthetical notes with these codes. For example; which administration codes should be used with the vaccine codes and the NCD codes applicable to the dose being administered. These codes will be effective through the duration of the Public Health Emergency. These codes were granted approval from the FDA on 12/11/20 and first appeared in the CPT codeset on 01/01/2021.
4 New Vaccine Codes:
91300, 91301, 91302, 91303
7 New Administration codes to be used with the Vaccine codes:
0001A, 0002A, 0011A, 0012A, 0021A, 0022A, 0031A
Vaccine Code |
Description
|
Admin Code
|
MFG |
NDC 10/NDC 11 Prod ID (vial) |
Dosing |
91300 |
SARS-CoV-2
30 mcg/0.3mL dosage
|
Dose #1 0001A
Dose #2 0002A
|
Pfizer, Inc |
Dose #1 59267-1000-1
Dose #2 59267-1000-01
|
21 Days |
91301 |
SARS-CoV-2
100 mcg/0.5mL dosage
|
Dose #1 0011A
Dose #2 0012A
|
Moderna, Inc |
Dose #1 80777-273-10
Dose #2 80777-0273-10
|
28 Days |
91302 |
SARS-CoV-2
5x1010 viral particles/0.5mL dosage
|
Dose #1 0021A
Dose #2 0022A
|
AstraZeneca, Plc |
Dose #1 0310-1222-10
Dose #2 00310-1222-10
|
28 Days |
91303 |
SARS-CoV-2
5x1010. viral particles/0.5mL dosage
|
1 Dose 0031A |
Janssen |
59676-580-05 59676-0580-05 |
N/A |
The crosswalks are intended to help entities and providers who bill for drugs understand which drug products that are identified by NDCs are assigned to which HCPCS billing codes. The crosswalks are not intended to be a comprehensive list of all drugs/NDCs available in the United States, but are current to the best of our knowledge as of the writing of the article.
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