On December 8, 2022, the U.S. Food and Drug Administration (FDA) amended the emergency use authorizations of the updated (bivalent) Pfizer-BioNTech and Moderna COVID-19 vaccines to include use in children down to 6 months old. Your patients may know these as “updated COVID-19 vaccines”:
- Pfizer-BioNTech: all patients 6 months – 4 years old.
- Moderna: all patients 6 months – 5 years old.
Use 4 new CPT codes effective December 8, 2022:
Code 91316 for Moderna COVID-19 Vaccine, Bivalent Product
- Long descriptor: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, bivalent, preservative free, 10 mcg/0.2 mL dosage, for intramuscular use
- Short descriptor: SARSCOV2 VAC BVL 10MCG/0.2ML
Code 91317 for Pfizer-BioNTech COVID-19 Vaccine, Bivalent Product
- Long descriptor: Severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, bivalent spike protein, preservative free, 3 mcg/0.2 mL dosage, diluent reconstituted, tris-sucrose formulation, for intramuscular use
- Short descriptor: SARSCOV2 VAC BVL 3MCG/0.2ML
Code 0164A for Moderna COVID-19 Vaccine, Bivalent – Administration – Booster Dose
- Long descriptor: Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, bivalent, preservative free, 10 mcg/0.2 mL dosage, booster dose
- Short descriptor: ADM SRSCV2 BVL 10MCG/0.2ML B
Code 0173A for Pfizer-BioNTech COVID-19 Vaccine, Bivalent – Administration – Third Dose
- Long descriptor: Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, bivalent spike protein, preservative free, 3 mcg/0.2 mL dosage, diluent reconstituted, tris-sucrose formulation, third dose
- Short descriptor: ADM SARSCV2 BVL 3MCG/0.2ML 3
Source: U.S. Centers for Medicare & Medicaid Services (CMS)
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