COVID-19 vaccines additional doses: codes & payment

CMS

16 August 2021 - The FDA amended the emergency use authorisations for both the Pfizer BioNTech COVID-19 vaccine and the Moderna COVID-19 vaccine to allow for an additional dose in certain immunocompromised people.

Effective 12 August 2021, CMS will pay to administer additional doses of COVID-19 vaccines consistent with the FDA emergency use authorisations, using CPT code 0003A for the Pfizer vaccine and CPT code 0013A for the Moderna vaccine. 

Medicare pay the same amount to administer this additional dose as we did for other doses of the COVID-19 vaccine (approximately $40 each).

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Michael Wonder

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Michael Wonder

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US , Medicare , Vaccine , COVID-19