2021-08-16-MLNC-SE

Date
2021-08-16
Subject
Special Edition - COVID-19 Vaccines Additional Doses: Codes & Payment
mln connects logo

SPECIAL EDITION

Monday, August 16, 2021

 

COVID-19 Vaccines Additional Doses: Codes & Payment

The FDA amended the emergency use authorizations (EUAs) for both the Pfizer BioNTech COVID-19 vaccine (PDF) and the Moderna COVID-19 vaccine (PDF) to allow for an additional dose in certain immunocompromised people.

Effective August 12, 2021, CMS will pay to administer additional doses of COVID-19 vaccines consistent with the FDA EUAs, using CPT code 0003A for the Pfizer vaccine and CPT code 0013A for the Moderna vaccine. We’ll pay the same amount to administer this additional dose as we did for other doses of the COVID-19 vaccine (approximately $40 each).

We’ll hold and then process all claims with these codes after we complete claims system updates (no later than August 27).

Learn more about Medicare COVID-19 vaccine:

View this edition as a PDF (PDF)


 

Like the newsletter? Have suggestions? Please let us know!

Subscribe to the MLN Connects newsletter. Previous issues are available in the archive.

This newsletter is current as of the issue date. View the complete disclaimer.

Follow the MLN on Twitter #CMSMLN, and visit us on YouTube.

The Medicare Learning Network®, MLN Connects®, and MLN Matters® are registered trademarks of the U.S. Department of Health and Human Services (HHS)

Medicare Learning Network Logo

.