FDA Issues EUA For Bivalent COVID Vaccines – Four New CPT Codes Released

FDA Issues EUA For Bivalent COVID Vaccines – Four New CPT Codes Released

New CPT codes are now available for the Moderna booster and Pfizer’s third dose of the bivalent COVID-19 vaccine product and vaccine administration; Moderna for patients aged six months through five years, and Pfizer for patients aged six months through four years (AMA, 2022).

Codes Effective December 8, 2022

The Moderna codes were published in November, ready to become effective when the Food and Drug Administration (FDA) released an emergency use authorization (EUA) for this specific vaccine, which occurred on December 8, 2022. The CPT Panel also released the Pfizer codes. The EUAs for both of these vaccines were issued by the FDA, making all four codes effective on December 8, 2022.

Moderna Booster Dose

The Moderna codes are for a booster dose of the bivalent vaccine, which targets both COVID-19 subvariants BA.4 and BA.5. There is a new vaccine product code (91316) and a new administration code (0164A) for this booster vaccine. Note that this vaccine is for patients aged six months through five years.

cpt code for bivalent covid vaccine moderna table

Pfizer Third Dose

The CPT Panel also approved two new codes for the Pfizer bivalent vaccine product that targets both COVID-19 subvariants BA.4 and BA.5. This product may be used as a third dose in the primary series for patients aged six months through four years. The first and second doses are reported using product code 91308 and administration codes 0081A and 0082A.

The third dose has a new product code (91317) and an administration code (0173A). Note that this vaccine is for patients aged six months through four years.

cpt code for bivalent covid vaccine pfizer table

AMA Resources

The AMA website includes valuable information on all of the COVID-19 Vaccine codes.

Review the November Special Edition of CPT Assistant for more information on the Moderna booster. The December Special Edition of CPT Assistant features details on the Pfizer bivalent third dose codes.

Appendix Q is updated as codes are added or updated. See this resource for the most current information on these codes, including the vaccine product and associated administration codes, vaccine manufacturer, names, and dosing intervals

covid-19 and telehealth course

Do you need to learn how to code the COVID-19 vaccines? Enroll in the CPT Hot Topics learning series from YES HIM Education. This series also dives into the HCPCS/CPT codes and guidelines for COVID-19 monoclonal antibodies, COVID-19 vaccines, and telehealth. Check out our COVID-19 Resource Center for additional updates.

Teri Jorwic

Contract Educator, MPH, RHIA, CCS, CCS-P, FAHIMA
cpt code for bivalent covid vaccine

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