AHA Coding Clinic® for HCPCS - 2020 Quarter 4; For Your Information
New CPT vaccine coding for COVID-19
The American Medical Association (AMA) in collaboration with the Centers for Medicare and Medicaid Services (CMS) and the Centers for Disease Control and Prevention (CDC), has developed a distinct coding structure that includes six new codes that will begin to capture vaccine administration coding for COVID-19 vaccine products. The new codes will become effective once the Food and Drug Administration (FDA) grants Emergency Use Authorization or approval for the new vaccines. The coding structure was developed to track the unique individual vaccine products and multiple dose administration when required. Codes 91300 (Pfizer-BioNTech COVID-19 Vaccine) and 91301 (Moderna COVID-19 Vaccine)...
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Article Overview
This article covers the AMA’s development of new CPT vaccine coding for COVID-19 in collaboration with CMS and the CDC. It describes the purpose of the new vaccine-product and administration code structure, notes the use of Appendix Q as a reference, and explains that the codes are tied to FDA Emergency Use Authorization or approval. The piece is relevant to coding professionals, billing staff, and others who need to track emerging COVID-19 vaccine coding guidance and effective dates.
Why This Topic Matters
Accurate vaccine coding depends on understanding the latest CPT additions, their related administration codes, and the effective-date trigger tied to federal authorization. This article helps readers stay current with a rapidly changing coding area.
Article Sections
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Overview of the new COVID-19 vaccine coding structure
Introduces the new CPT vaccine coding framework and the organizations involved in its development. Summarizes the purpose of the structure and the timing of when the codes become active.
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Reference resources and supporting information
Describes the supporting reference material associated with the new coding framework. Mentions the general type of information included for guidance and lookup.
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New CPT code table
Presents the set of new CPT vaccine product and administration codes and their effective-date information. Includes the article’s tabular listing of the newly introduced coding items.
What You Will Learn
- The general structure of the new COVID-19 vaccine CPT coding approach
- Which organizations were involved in developing the coding update
- What supporting reference material accompanies the new coding guidance
- How the article frames the effective timing of the new codes
- Which broad vaccine-product and administration categories are addressed
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Revenue cycle professionals
- Clinical documentation staff
Codes Discussed
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