SPECIAL EDITION
Monday, August 16, 2021
COVID-19 Vaccines Additional Doses: Codes & Payment
The FDA amended the emergency use authorizations (EUAs) for both the Pfizer BioNTech COVID-19 vaccine (PDF) and the Moderna COVID-19 vaccine (PDF) to allow for an additional dose in certain immunocompromised people.
Effective August 12, 2021, CMS will pay to administer additional doses of COVID-19 vaccines consistent with the FDA EUAs, using CPT code 0003A for the Pfizer vaccine and CPT code 0013A for the Moderna vaccine. We’ll pay the same amount to administer this additional dose as we did for other doses of the COVID-19 vaccine (approximately $40 each).
We’ll hold and then process all claims with these codes after we complete claims system updates (no later than August 27).
Learn more about Medicare COVID-19 vaccine:
View this edition as a PDF (PDF)
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