What changed?
Retroactive to dates of service on and after June 1, 2023, the Health Care Authority (HCA) removed the following COVID vaccine procedure codes from the Apple Health (Medicaid) COVID-19 vaccine clinical policy and fee schedule:
CPT® code Short description Labeler
91303 SARSCOV2 VAC AD26 .5ML IM Janssen
0031A ADM SARSCOV2 VAC AD26 .5ML Janssen
0034A ADM SARSCOV2 VAC AD26 .5ML B Janssen
HCA revised the Apple Health (Medicaid) COVID-19 vaccine clinical policy. See HCA’s Provider billing guides and fee schedules, under COVID-19, Policies and billing guidance.
COVID-19 Fee Schedule
HCA revised the Emergency COVID-19 Fee Schedule. See HCA’s Provider billing guides and fee schedules, under COVID-19.
CPT® codes and descriptions only are copyright 2022 American Medical Association.
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