COVID-19 vaccines have been available for more than a year and with boosters being approved and recommended, it is easy to bill with an incorrect vaccine or administration code. Below are the most used COVID-19 vaccination codes:
| CPT/HCPCS Description | CPT/HCPCS Code | Vaccine/Procedure Name |
| SARSCOV2 VAC 30MCG/0.3ML IM | 91300 | Pfizer-BioNTech COVID-19 Vaccine |
| ADM SARSCOV2 30MCG/0.3ML 1ST | 0001A | Pfizer-BioNTech Administration First Dose |
| ADM SARSCOV2 30MCG/0.3ML 2ND | 0002A | Pfizer-BioNTech Administration Second Dose |
| ADM SARSCOV2 30MCG/0.3ML 3RD | 0003A | Pfizer-BioNTech Administration Third Dose |
| ADM SARSCOV2 30MCG/0.3ML BST | 0004A | Pfizer-BioNTech Administration Booster |
| SARSCOV2 VAC 100MCG/0.5ML IM | 91301 | Moderna COVID-19 Vaccine |
| ADM SARSCOV2 100MCG/0.5ML1ST | 0011A | Moderna Administration First Dose |
| ADM SARSCOV2 100MCG/0.5ML2ND | 0012A | Moderna Administration Second Dose |
| ADM SARSCOV2 100MCG/0.5ML3RD | 0013A | Moderna Administration Third Dose |
| SARSCOV2 VAC 5X10^10VP/.5MLIM | 91302 | AstraZeneca COVID-19 Vaccine |
| ADM SARSCOV2 5X10^10VP/.5ML 1 | 0021A | AstraZeneca Administration First Dose |
| ADM SARSCOV2 5X10^10VP/.5ML 2 | 0022A | AstraZeneca Administration Second Dose |
| SARSCOV2 VAC AD26 .5ML IM | 91303 | Janssen COVID-19 Vaccine |
| ADM SARSCOV2 VAC AD26 .5ML | 0031A | Janssen Administration First Dose |
| ADM SARSCOV2 VAC AD26 .5ML B | 0034A | Janssen Administration Second Dose |
There are several other vaccines available and the billing codes can be found on cms.gov or by clicking here.
References & Resources:
https://www.cms.gov/medicare/medicare-part-b-drug-average-sales-price/covid-19-vaccines-and-monoclonal-antibodies
About PGM
Physicians Group Management (PGM) is one of the fastest-growing medical billing companies in the United States. For over 35 years, PGM has been providing medical billing and practice management services and software to physicians, healthcare facilities, and laboratories. PGM’s current client base encompasses the full spectrum of medical specialties, including Internal Medicine, Dermatology, Plastic & Reconstructive Surgery, Pathology, EMS & Ambulatory Services, Cardiology, Nephrology, Urology, Pain Management, OB/GYN, Gastroenterology, Independent Laboratory, and many more. PGM’s medical billing and practice management solutions include: –
– A full suite of practice management and medical billing solutions each tailored to the specific needs of your practice
– CCHIT-certified electronic medical record software and services
– Streamlined, customized credentialing services for providers of all sizes
– Practice management software that provides advanced financial and practice analysis tools, specifically designed to give enhanced visibility of operations at the click of a button
– Laboratory billing software that offers best-in-class systems to streamline, and manage and track, financial and administrative processes