Bivalent CPT Codes

[Missouri Public Health Association]

Anyone have CPT codes for the new Bivalent COVID vaccines?

[Missouri Public Health Association]

I haven’t tried any of them yet, but here’s what I have:

Moderna bivalent booster – 18 years and older

91313 Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, bivalent, preservative free, 50 mcg/0.5 mL dosage, for intramuscular use

0134A Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, bivalent, preservative free, 50 mcg/0.5 mL dosage, booster dose

Moderna bivalent booster – 6 years through 11 years

91314 Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, bivalent, preservative free, 25 mcg/0.25 mL dosage, for intramuscular use

0144A Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRN-LNP, spike protein, bivalent, preservative free, 25 mcg/0.25 mL dosage, booster dose

Pfizer-BioNTech bivalent booster – 12 years and older

91312 Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, bivalent spike protein, preservative free, 30 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use

0124A Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, bivalent spike protein, preservative free, 30 mcg/0.3 mL dosage, tris-sucrose formulation, booster dose

Pfizer-BioNTech bivalent booster – 5 years through 11 years

91315 Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, bivalent spike protein, preservative free, 10 mcg/0.2 mL dosage, diluent reconstituted, tris-sucrose formulation, for intramuscular use

0154A Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, bivalent spike protein, preservative free, 10 mcg/0.2 mL dosage, diluent reconstituted, tris-sucrose formulation, booster dose

[Missouri Public Health Association]

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

The all cpt codes for COVID-19 billing are listed on this link.

[Missouri Public Health Association]

https://www.ama-assn.org/press-center/press-releases/ama-announces-cpt-update-covid-19-boosters-adapted-omicron?utm_source=SFMC&utm_medium=email&utm_term=922022&utm_content=HS_Email_Comm_CPT_NewsAlert_090122&utm_campaign=CPT%20News%202022&utm_asset_name=CPT%20News%202022&utm_channel_name=

Here is the website for what Ashley has listed. Thanks Ashley for posting this. I really appreciate it.

[Missouri Public Health Association]

Are there different codes for RR Medicare? All of our RR claims are being denied and our EHR company tells us there are different codes to use.

[Missouri Public Health Association]

Is anyone getting reimbursed for the new Bivalent codes?? Medicare is denying all of mine.

Thanks

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