7 New CPT® Codes for COVID-19 Vaccine and Related Services
Summary
The American Medical Association (AMA) has released six new Current Procedural Terminology (CPT®) codes related to COVID-19 related vaccines and their administration, and one laboratory code.
The laboratory code was effective November 10, 2020. The codes for the vaccine and their associated administration codes will not be effective until the U.S. Food & Drug Administration (FDA) provides an Emergency Use Authorization (EUA) or FDA approval.
Discussion
New Laboratory Code
New CPT® code 87428 Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; severe acute respiratory syndrome coronavirus (eg, SARS-CoV, SARS-CoV-2 [COVID-19]) and influenza virus types A and B is a child code under CPT® code 87301 Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative, multiple-step method; adenovirus enteric types 40/41.
This new code describes a multiplex immunoassay antigen test for SARS-CoV, SARS-CoV-2, and influenza virus types A and B.
There has not been any pricing established for this test as of today. In the past, the Centers for Medicare & Medicaid Services (CMS) has stated new laboratory tests are locally priced by your Medicare Administrative Contractor (MAC).
Vaccines and Immunizations
The vaccine and immunization codes will be available for use when the FDA has either approved the drug, or issued an EUA. At that time, the lightening bolt icon will be removed from the codes, and they will be active. The new codes will necessitate changes to the CPT® Parenthetical Notes.
CPT® code 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 is to report the Pfizer, Inc. Pfizer-BioNTech COVID-19 Vaccine. The immunization administration code for the first dose is CPT® code 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, and the immunization administration for the second dose is 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 second dose is given 21 days after the first dose. The National Drug Code (NDC) is expected to be 59267-1000-01.
CPT® code 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 is for reporting Moderna, Inc.’s Moderna COVID-19 Vaccine. The CPT® for the immunization administration is 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, and the second dose is reported with CPT® 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 interval between doses is 28 days. The NDC for this drug is 80777-0273-10.
You can read the Special Edition: CPT® Assistant November Update here.
Here you can view a graphic with the vaccine and immunization administration codes showing the dose interval and NDC code is available here.
Related Code(s):
| Code | Code Type | Long Description |
|---|---|---|
| 0001A | CPT | 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 |
| 0002A | CPT | 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 |
| 0011A | CPT | 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 |
| 0012A | CPT | 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 |
| 87428 | CPT | Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; severe acute respiratory syndrome coronavirus (eg, SARS-CoV, SARS-CoV-2 [COVID-19]) and influenza virus types A and B |
| 91300 | CPT | 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 |
| 91301 | CPT | 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 |
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