AHA Coding Clinic® for HCPCS - 2023 Quarter 4; For Your Information
New, Deleted and Replacement COVID-19 Vaccine Codes
Effective October 3, 2023, the U.S. Food and Drug Administration (FDA) authorized an amended version of its Emergency Use Authorization (EUA) for the monovalent Novavax COVID-19 vaccine, adjuvanted. The EUA was revised to include the 2023-2024 version of the Novavax COVID-19 vaccine to address the Omicron variant XBB.1. This vaccine is approved for patients 12 years of age and older and is reported with existing CPT product code 91304 . The original monovalent Novavax COVID-19 vaccine is no longer approved for use in the U.S. On August 14, 2023, the American Medical Association (AMA) released six...
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Article Overview
This article reviews recent COVID-19 vaccine coding updates from the AMA and FDA, focusing on changes to CPT product and administration coding, deletions, and replacement code mappings. It is intended for coding professionals, billing teams, and other healthcare staff who need to stay current with vaccine coding revisions and effective dates. The article also references where readers can find additional AMA guidance.
Why This Topic Matters
COVID-19 vaccine coding changes affect charge capture, claim submission, and code maintenance across practices that administer vaccines to patients of different ages. Staying aligned with the latest CPT updates helps reduce coding errors when legacy vaccine codes are retired and new product or administration codes take effect.
Article Sections
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New COVID-19 vaccine codes effective September 11, 2023
Introduces newly released vaccine administration and product coding updates, along with associated effective dates and manufacturer groupings.
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Deleted and replacement CPT COVID-19 vaccine administration and product codes effective November 1, 2023
Summarizes legacy COVID-19 vaccine coding changes and replacement mappings for administration and product code families.
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Deleted and replacement COVID-19 administration codes
Lists administration code groupings affected by the update and the corresponding replacement code used in the article.
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Deleted and replacement COVID-19 product codes
Lists product code ranges affected by the update and the replacement code groupings referenced by the article.
What You Will Learn
- Which COVID-19 vaccine CPT codes were newly released in the update period
- Which legacy vaccine code families were deleted and replaced
- How the article organizes vaccine changes by effective date and manufacturer
- Where the article points readers for additional AMA guidance on COVID-19 coding
Who Should Read This
- Medical coders
- Billing staff
- Compliance teams
- Practice managers
- Revenue cycle personnel
- Immunization clinic staff
Codes Discussed
Code Ranges Discussed
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