COVID-19 Vaccine Codes: Updated Effective Date for Pfizer-BioNTech

Centers for Medicare & Medicaid Services (CMS) sent this bulletin at 12/14/2020 04:57 PM EST

CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS)

MLN Connects - Official CMS news from the Medicare Learning Network®

Special Edition – Monday, December 14, 2020

COVID-19 Vaccine Codes: Updated Effective Date for Pfizer-BioNTech

On December 11, 2020, the U.S. Food and Drug Administration issued an Emergency Use Authorization (EUA) for the Pfizer-BioNTech COVID‑19 Vaccine for the prevention of COVID-19 for individuals 16 years of age and older. Review Pfizer’s Fact Sheet for Healthcare Providers Administering Vaccine (Vaccination Providers) regarding the limitations of authorized use.

During the COVID-19 Public Health Emergency (PHE), Medicare will cover and pay for the administration of the vaccine (when furnished consistent with the EUA). Review our updated payment and HCPCS Level I CPT code structure for specific COVID-19 vaccine information. Only bill for the vaccine administration codes when you submit claims to Medicare; don’t include the vaccine product codes when vaccines are free.

Like our newsletter? Have suggestions? Please let us know!

The Medicare Learning Network®, MLN Connects®, and MLN Matters® are registered
trademarks of the U.S. Department of Health and Human Services (HHS).

Please share this important information with your colleagues and encourage them to subscribe. Previous issues are available in the archive.

You're getting this message because you subscribed to get email updates from the Centers for Medicare & Medicaid Services (CMS).

Update your subscriptions, modify your password or email address, or stop subscriptions at any time on your Subscriber Preferences Page. You will need to use your email address to log in. If you have questions or problems with the subscription service, please contact subscriberhelp.govdelivery.com.

This service is provided to you at no charge by Centers for Medicare & Medicaid Services (CMS).

COVID-19 Vaccine Codes: Updated Effective Date for Pfizer-BioNTech

Special Edition – Monday, December 14, 2020

COVID-19 Vaccine Codes: Updated Effective Date for Pfizer-BioNTech

Like our newsletter? Have suggestions? Please let us know!

The Medicare Learning Network®, MLN Connects®, and MLN Matters® are registeredtrademarks of the U.S. Department of Health and Human Services (HHS).

The Medicare Learning Network®, MLN Connects®, and MLN Matters® are registered
trademarks of the U.S. Department of Health and Human Services (HHS).