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COVID-19 CPT vaccine and immunization codes
New Current Procedural Terminology (CPT®) codes have been created that streamline the reporting of immunizations for the novel coronavirus (SARS-CoV-2, also known as COVID-19) and help with accurate billing.
Unique CPT codes approved for COVID-19 immunizations
The CPT Editorial Panel has approved addition of 43 Category I codes (0001A, 0002A, 0003A, 0004A, 0011A, 0012A, 0013A, 0021A, 0022A, 0031A, 0034A, 0041A, 0042A, 0051A, 0052A, 0053A, 0054A, 0064A, 0071A, 0072A, 0073A, 0074A, 0081A, 0082A, 0083A, 0091A, 0092A, 0093A, 0094A, 0104A, 0111A , 0112A, 0113A, 91300, 91301, 91302, 91303, 91304, 91305, 91306, 91307, 93108, 91309, 91310, 91311), revised guidelines and parenthetical notes, and updated Appendix Q.
New CPT codes for Moderna vaccine in pediatric patients
Accepted four Category I administration codes (0091A, 0092A, 0093A, 0113A) for Moderna pediatric patients.
Codes (0091A, 0092A, 0093A) are intended for the Moderna vaccine product in pediatric patients aged 6 through 11 years. These codes are to be reported with previously established Moderna vaccine product code 91309. Code (0113A) should be reported with code 91311 for pediatric patients aged 6 months through 5 years.
Appendix Q has been updated to reflect these additions. These codes were published on July 6, 2022 and will be effective upon receiving Emergency Use Authorization or approval from the Food and Drug Administration.
Recent developments in COVID-19 CPT codes
Codes 0081A, 0082A, 0083A, 0091A, 0092A, 0093A, revised 0094A, 0111A, 0112A, 0113A, 91308 and 91311 were effective on June 17, 2022. The revision to code 0094A is effective July 6, 2022.
These CPT codes, developed based on extensive collaboration with Centers for Medicare & Medicaid Services (CMS) and the Centers for Disease Control and Prevention (CDC), are unique for each of four coronavirus vaccines as well as administration codes unique to each such vaccine and dose. The new CPT codes clinically distinguish each COVID-19 vaccine for better tracking, reporting and analysis that supports data-driven planning and allocation.
Downloadable tracker of SARS-CoV-2-related CPT codes
With this newest release of SARS-CoV-2-related CPT codes, along with releasing the standard code descriptor PDF, we are also releasing an easy-to-use Excel file of just the SARS-CoV-2-related CPT codes. The file contains all the SARS-CoV-2-related CPT codes, some of which may not be in the 2022 CPT data file, and includes:
- CPT code descriptors (long, medium, and short)
- Published date
- Effective date
- Type of change.
As new SARS-CoV-2-related CPT codes are approved by the CPT Editorial Panel, the AMA will publish updates to these files.
For more information on Category I vaccine descriptions and other vaccine resources, refer to the full-length AMA guidance on COVID CPT codes.