The American Medical Association has released two coronavirus vaccine CPT Codes, 91300 and 91301. The two codes are being used to better track, report, and analyze data for the planning and allocation of vaccines for coronavirus. The vaccines are manufactured by are Pfizer and Moderna and require two doses. They also added four vaccine administration codes, 0001A, 0002A, 0011A, and 0012A. Stated that “Among these is a new code to describe the additional supplies and clinical staff time required to mitigate transmission of respiratory infectious disease while providing evaluation, treatment or procedural services during a public health emergency.”

CPT Codes for Coronavirus Vaccine

 91300

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, for intramuscular use. (This COVID-19 vaccine is manufactured by Pfizer)

91301 

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, preservative-free, 100 mcg/0.5mL dosage, for intramuscular use. (This COVID-19 vaccine is manufactured by Moderna))

COVID-19 Vaccine Administration Codes

The coronavirus vaccine administration codes are specific to the coronavirus vaccine and the dosage. Vaccine administration codes report the work of administering the vaccine, counseling the patient or caregiver, and documenting the medical record.

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. (The 0001A COVID-19 vaccine administration CPT code is for the first dose of the Pfizer vaccine only)

0002A

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; second dose. (The 0002A COVID-19 vaccine administration CPT code is for the second dose of the Pfizer vaccine only)

0011A

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, 100 mcg/0.5mL dosage; first dose. (The 0011A COVID-19 vaccine administration CPT code is for the first dose of the Moderna vaccine only)

0012A

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, 100 mcg/0.5mL dosage; second dose. (The 0012A COVID-19 vaccine)

Medical Billing is more important now than it has ever been and billing for the Coronavirus vaccine is important for not only reimbursement but governmental reporting purposes.Each Coronavirus vaccine has its own specific CPT code based on the vaccine manufacturer (Pfizer or Moderna). The vaccine administration code is also based on the manufacturer plus the number of doses.If you receive the COVID-19 Vaccine form the government to administer to patients, remember to only bill the vaccine administration codes when submitting claims. DO NOT include the vaccine CPT codes when the Coronavirus vaccines are free.

The CMS has updated the payment structure, to learn more follow this link to the update: https://www.cms.gov/medicare/medicare-part-b-drug-average-sales-price/covid-19-vaccines-and-monoclonal-antibodies