COVID-19 vaccines have been available for more than a year and with boosters being approved and recommended, it is easy to bill with an incorrect vaccine or administration code. Below are the most used COVID-19 vaccination codes:

CPT/HCPCS Description CPT/HCPCS Code Vaccine/Procedure Name
SARSCOV2 VAC 30MCG/0.3ML IM 91300 Pfizer-BioNTech COVID-19 Vaccine
ADM SARSCOV2 30MCG/0.3ML 1ST 0001A Pfizer-BioNTech Administration
First Dose
ADM SARSCOV2 30MCG/0.3ML 2ND 0002A Pfizer-BioNTech Administration
Second Dose
ADM SARSCOV2 30MCG/0.3ML 3RD 0003A Pfizer-BioNTech Administration
Third Dose
ADM SARSCOV2 30MCG/0.3ML BST 0004A Pfizer-BioNTech Administration
Booster
SARSCOV2 VAC 100MCG/0.5ML IM 91301 Moderna COVID-19 Vaccine
ADM SARSCOV2 100MCG/0.5ML1ST 0011A Moderna Administration
First Dose
ADM SARSCOV2 100MCG/0.5ML2ND 0012A Moderna Administration
Second Dose
ADM SARSCOV2 100MCG/0.5ML3RD 0013A Moderna Administration
Third Dose
SARSCOV2 VAC 5X10^10VP/.5MLIM 91302 AstraZeneca COVID-19 Vaccine
ADM SARSCOV2 5X10^10VP/.5ML 1 0021A AstraZeneca Administration
First Dose
ADM SARSCOV2 5X10^10VP/.5ML 2 0022A AstraZeneca Administration
Second Dose
SARSCOV2 VAC AD26 .5ML IM 91303 Janssen COVID-19 Vaccine
ADM SARSCOV2 VAC AD26 .5ML 0031A Janssen Administration
First Dose
ADM SARSCOV2 VAC AD26 .5ML B 0034A Janssen Administration
Second Dose

 

There are several other vaccines available and the billing codes can be found on cms.gov or by clicking here.

References & Resources:
https://www.cms.gov/medicare/medicare-part-b-drug-average-sales-price/covid-19-vaccines-and-monoclonal-antibodies

About PGM

Physicians Group Management (PGM) is one of the fastest-growing medical billing companies in the United States.  For over 35 years, PGM has been providing medical billing and practice management services and software to physicians, healthcare facilities, and laboratories.  PGM’s current client base encompasses the full spectrum of medical specialties, including Internal Medicine, Dermatology, Plastic & Reconstructive Surgery, Pathology, EMS & Ambulatory Services, Cardiology, Nephrology, Urology, Pain Management, OB/GYN, Gastroenterology, Independent Laboratory, and many more.  PGM’s medical billing and practice management solutions include:                           –

– A full suite of practice management and medical billing solutions each tailored to the specific needs of your practice

– CCHIT-certified electronic medical record software and services

– Streamlined, customized credentialing services for providers of all sizes

– Practice management software that provides advanced financial and practice analysis tools, specifically designed to give enhanced visibility of operations at the click of a button

Laboratory billing software that offers best-in-class systems to streamline, and manage and track, financial and administrative processes