The Most Common CPT Codes For COVID-19 Vaccines_A Complete Guide

CPT Codes For COVID-19 Vaccines

Are you properly billing and coding COVID-19 vaccinations at your hospital or healthcare facility? If not, then it’s the right time to revisit your billing and coding strategies. More importantly, healthcare providers should make sure that their coding teams have a complete understanding of the CPT, HCPCS and ICD-10 codes related to the administering of COVID-19 vaccines.

Before diving into further discussion. It’s worth mentioning here that medical coding is a complicated procedure. That includes the accurate translation of patients’ diagnoses, treatments, medical equipment and services into standard alphanumeric codes. Medical coders get this information from practitioners’ notes, medical transcriptions and patients files. Failure to assign the precise diagnosis and procedural codes not only results in the delayed reimbursements from the insurance companies.

But having a history of some coding errors such as; unbundling, under-coding, over-coding can land laboratory practitioners in legal trouble. Such as; heavy fines, federal penalties, cancellation of licences, and even imprisonment in some cases. Because such coding errors are considered as healthcare or billing frauds. So, in order to avoid such issues, practitioners should acquire the services of highly trained and AAPC certified medical coders. The same is true when it comes to managing the medical coding for the covid-19 vaccines.

In addition to acquiring the services of well experienced medical coders_it is also very crucial for the coding staff to get constant education and training. Because medical codes for Covid vaccines are witnessing continuous evolutions in terms of new, deleted or modified CPT, ICD or HCPCS codes.

The American Medical Association (AMA) has announced the much-anticipated codes to report the administration of Covid-19. The CPT codes have been created for reporting immunizations for the novel coronavirus (SARS-CoV-2, also known as COVID-19). Each CPT code is different for each vaccination.

These CPT codes allow healthcare practitioners to report and track the administration of these COVID-19 vaccines. For your convenience, I have compiled the most common CPT codes for covid vaccines.

Pfizer Vaccine Codes:

CodeCPT Short DescriptorVaccine/Procedure Name
91300SARSCOV2 VAC 30MCG/0.3ML IMPfizer-Biontech Covid-19 Vaccine
0001AADM SARSCOV2 30MCG/0.3ML 1STPfizer-Biontech Covid-19 Vaccine Administration – First Dose
0002AADM SARSCOV2 30MCG/0.3ML 2NDPfizer-Biontech Covid-19 Vaccine Administration – Second Dose
91305SARSCOV2 VAC 30 MCG TRS-SUCRPfizer-Biontech Covid-19 Vaccine (Ready to Use)
0051AADM SARSCV2 30MCG TRS-SUCR 1Pfizer-Biontech Covid-19 Vaccine (Ready to Use) Administration – First dose
0052AADM SARSCV2 30MCG TRS-SUCR 2Pfizer-Biontech Covid-19 Vaccine (Ready to Use) Administration – Second dose
0053AADM SARSCV2 30MCG TRS-SUCR 3Pfizer-Biontech Covid-19 Vaccine (Ready to Use) Administration – Third dose
0054AADM SARSCV2 30MCG TRS-SUCR BPfizer-Biontech Covid-19 Vaccine (Ready to Use) Administration – Booster

Moderna Codes:

CodeCPT Short DescriptorVaccine/Procedure Name
91301SARSCOV2 VAC 100MCG/0.5ML IMModerna Covid-19 Vaccine
0011AADM SARSCOV2 100MCG/0.5ML1STModerna Covid-19 Vaccine Administration – First Dose
0012AADM SARSCOV2 100MCG/0.5ML2NDModerna Covid-19 Vaccine Administration – Second Dose
0013AADM SARSCOV2 100MCG/0.5ML3RDModerna Covid-19 Vaccine Administration – Third Dose
91306SARSCOV2 VAC 50MCG/0.25ML IMModerna Covid-19 Vaccine (Low Dose)
0064AADM SARSCOV2 50MCG/0.25MLBSTModerna Covid-19 Vaccine (Low Dose) Administration – Booster

Novavax Vaccine Codes

CodeCPT Short DescriptorVaccine/Procedure Name
91304SARSCOV2 VAC 5MCG/0.5ML IMNovavax Covid-19 Vaccine
0041AADM SARSCOV2 5MCG/0.5ML 1STNovavax Covid-19 Vaccine Administration – First Dose
0042AADM SARSCOV2 5MCG/0.5ML 2NDNovavax Covid-19 Vaccine Administration – Second Dose

AstraZeneca Vaccine Codes

CodeCPT Short DescriptorVaccine/Procedure Name
91302SARSCOV2 VAC 5X10^10VP/.5MLIMAstraZeneca Covid-19 Vaccine
0021AADM SARSCOV2 5X10^10VP/.5ML 1AstraZeneca Covid-19 Vaccine Administration – First Dose
0022AADM SARSCOV2 5X10^10VP/.5ML 2AstraZeneca

Janssen Vaccine Codes

CodeCPT Short DescriptorVaccine/Procedure Name
91303SARSCOV2 VAC AD26 .5ML IMJanssen Covid-19 Vaccine
0031AADM SARSCOV2 VAC AD26 .5MLJanssen Covid-19 Vaccine Administration

Home Vaccine Administration

CodeCPT Short DescriptorVaccine/Procedure Name
M0201Covid-19 vaccine home adminCovid-19 vaccine administration inside a patient’s home; reported only once per individual home per date of service when only covid-19 vaccine administration is performed at the patient’s home

How Can You Bill for Administering COVID-19 Vaccines?

After getting a complete understanding of the CPT codes of the covid vaccinations. The next step is the preparation of medical bills for administering the COVID-19 vaccines. Let me clarify the misconception that: the federal authorities have given the patients relief from paying the out of pocket costs for getting a vaccine jab and its administration. Providers who participate in the CDC COVID-19 Vaccination Program must:

  • Administer the vaccine with no copayments from the patients.
  • Provide vaccination services to every one_regradless of whether or not your patients are insured, coverage or network status.
  • Healthcare providers are not allowed for balance billing for COVID-19 vaccinations.
  • Providers can’t charge their patients if they pay a visit for only getting vaccinated.

Moreover, here are the following tips that can help you in preparing the comprehensive medical bills for administering Covid-19 vaccines.

  • Only Medicare-enrolled healthcare providers are allowed to bill Medicare for administering COVID-19 vaccines to Medicare patients.
  • You can prepare a single roster bill for administering the Covid 19, in which you can mention the complete list of all the immunized members.
  • You must be very careful while choosing the Place of Services codes. Which are being used to report the place, where healthcare services are being rendered. For roster billing, providers can use POS code 60.
  • Medical codes aren’t used for the Covid-19 vaccines, which are being provided by the government at no cost.
  • If you are providing the free services for administering the vaccinations, you can’t charge your patients or file the claims to Medicare, Medicaid, or another insurer.
  • If you are eligible for government funding to provide the Covid vaccine, then you can also send the medical claims.

Never Rely On Inexperienced Medical Coders

Medical coding is undoubtedly a complicated and time-consuming procedure, which requires unique expertise and skills to deal with. So, in order to save your healthcare practice from financial as well as legal challenges. Laboratory practitioners should never rely on inexperienced staff, having zero to little knowledge about medical coding. Furthermore, to successfully deal with the growing complexities of medical billing and coding services. Healthcare practitioners need the assistance of a dedicated billing team, having a wide range of industry experience. However, it’s also a fact that in this pandemic hit era, bearing the high expenses of managing medical billing services in-house, is very challenging.

Because hiring, training of billing staff, higher salaries, employees incentives, office workspace, purchase and maintenance of the cutting-edge software/hardware, can result in a quick add up in the budget. The healthcare practitioners, who are already on a tight budget due to the financial uncertainties caused by the ongoing pandemic_ face immense challenges to maintain an in-house billing department. So, regardless of whether you are running a small scale or large scale healthcare practice_hiring the most professional billing collection agency always makes sense.

Outsourced RCM companies hold a team of well experienced medical coders and billers. They never miss any healthcare reforms and submit medical claims as per industry standards. Additionally, they have complete know-how for the billing and coding guidelines for Covid-19 vaccines. So you don’t need to worry about the reimbursements and complicated administrative tasks associated with medical billing. Particularly for the Covid vaccine. Meanwhile, off-shore billing and coding experts will take care of your RCM process. Are you feeling overwhelmed while preparing the medical claims for administering the Covid-19 vaccines? Don’t worry! Covid Lab Billing will take the pain out of your billing services. Our experts provide fully tailored solutions to finetune the entire RCM process. Collaborate with us today and start a new journey towards financial success.

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