COVID-19 vaccine codes

US FDA issued  Emergency use authorization for COVID-19 vaccines, but CMS warns against including the vaccine product codes in the claims when the vaccines are free. To find out what you are allowed to bill for, read along!


US FDA issued Emergency use authorization for COVID-19 vaccines. CMS warns against including the vaccine product codes in the claims when the vaccines are free. In this case, you should only bill for administration. Review:

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

FDA COVID-19 Vaccine News and Updates: https://www.fda.gov/emergency-preparedness-and-response/coronavirus-disease-2019-covid-19/covid-19-vaccines

CMS provider toolkits: https://www.cms.gov/covidvax-provider


Source: https://www.cms.gov/outreach-and-educationoutreachffsprovpartprogprovider-partnership-email-archive/2020-12-22-mlnc-se