Posted on by Louri Roberts under COVID-19

July Bulletin – COVID-19 CPT Code Updates

In mid-May, the U.S. Food and Drug Administration (FDA) approved use of the Pfizer-BioNTech COVID-19 vaccine booster for children ages five through eleven. The CPT code to be used for this booster is:

  • 0074A – 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, 10 mcg/0.2 mL dosage, diluent reconstituted, tris-sucrose formulation; booster dose

0074A should be reported in conjunction with 91307, which is the administration code.

For the pediatric (ages 6 months through five years) COVID-19 vaccines, the new CPT codes are:

  • 91308 Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, preservative free, 3 mcg/0.2 mL dosage, diluent reconstituted, tris-sucrose formulation, for intramuscular use
  • 0081A 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, 3 mcg/0.2 mL dosage, diluent reconstituted, tris-sucrose formulation; first dose
  • 0082A 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, 3 mcg/0.2 mL dosage, diluent reconstituted, tris-sucrose formulation; second dose

The American Medical Association provides a COVID-19 vaccine CPT code look-up tool that can be found on www.ama-assn.org or by clicking here.

 

Resources:

https://www.aapc.com/blog/85043-use-0074a-for-covid-19-pediatric-booster/

https://www.aafp.org/pubs/fpm/blogs/gettingpaid/entry/young_kid_vaccine.html
https://www.ama-assn.org/find-covid-19-vaccine-codes

 

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