COVID-19 Vaccination providers enrolled in the federal COVID-19 Vaccination Program must report all vaccine administration errors, all serious adverse events. Billing Covid administration is a critical element that can be convoluted and difficult.
The Centers for Medicare and Medicaid (CMS) Release Billing Guidelines for COVID-19 Vaccine, ASP-RCM Solutions support you with our Billing expertise on getting these Vaccine Administration reimbursed.
The American Medical Association (AMA) has published updates to the Current Procedural Terminology (CPT®) code set that includes new vaccine-specific codes to report immunizations for the novel coronavirus (SARS-CoV-2). The code set will continue to be updated as additional vaccines receive emergency use authorization (EUA) approval by the U.S. Food & Drug Administration (FDA).
The following codes have been published as of November 10, 2020 and CMS payment allowance for each CPT code listed below
|CPT Code||CPT Short Descriptor||Vaccine Name||Vaccine/Procedure Name||Payment Allowance|
|91300||SARSCOV2 VAC 30MCG/0.3ML IM||Pfizer||Pfizer-Biotech Covid-19 Vaccine||$0.01|
|0001A||ADM SARSCOV2 VAC 30MCG/0.3ML 1ST||Pfizer||Pfizer-Biotech Covid-19 Vaccine Administration – First Dose||$40|
|0002A||ADM SARSCOV2 VAC 30MCG/0.3ML 2ND.||Pfizer||Pfizer-Biotech Covid-19 Vaccine Administration – Second Dose||$40|
|91301||SARSCOV2 VAC 30MCG/0.3ML IM||Moderna||Moderna Covid-19 Vaccine||$0.01|
|0011A||ADM SARSCOV2 VAC 100MCG/0.5ML 1ST||Moderna||Moderna Covid-19 Vaccine Administration – First Dose||$40|
|0012A||ADM SARSCOV2 VAC 100MCG/0.5ML 2ND||Moderna||Moderna Covid-19 Vaccine Administration – First Dose||$40|