Third Group of CPT COVID-19 Vaccine Coding Guidelines Released by AMA
The American Medical Association (AMA) released new codes for the anticipated COVID-19 vaccine. The vaccine developed by AstraZeneca and University of Oxford will use these new codes (AMA, 2020). In addition, the codes will be available for use pending the Food and Drug Administration (FDA) emergency use authorization for this vaccine.
Furthermore, CPT already has codes for the Pfizer and Moderna vaccines that received the FDA authorization. In addition, having the codes ready for the next anticipated product will be essential to track the vaccine’s administration. In addition, as with the Pfizer and Moderna vaccines, the AstraZeneca vaccine will require a two-dose administration.
Vaccine and Administration Codes
Furthermore, the new codes include a vaccine-specific code and two administration codes. One administration code is for the first dose, and one is for the second dose administration.
91302: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, DNA, spike protein, chimpanzee adenovirus Oxford 1 (ChAdOx1) vector, preservative free, 5×1010 viral particles/0.5mL dosage, for intramuscular use
0021A: Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, DNA, spike protein, chimpanzee adenovirus Oxford 1 (ChAdOx1) vector, preservative free, 5×1010 viral particles/0.5mL dosage; first dose
0022A: second dose
Summary of Available COVID-19 Vaccine Codes
There are now a total of nine codes currently available for three COVID-19 vaccines and two-dose administration. In addition, analysts anticipate that the list will have additions as companies develop new vaccines and they’re approved for use.
Note that the administration and vaccine codes are linked. For the administration codes, the first digit is 0. The second and third digit reflecting the last two digits of the vaccine code. The fourth digit indicates first or second dose, and the last character “A” for administration. Furthermore, analysts anticipate that the CPT will continue to use this structure for additional COVID-19 vaccine codes.
In addition, the CPT COVID-19 vaccine coding guidelines are available on the AMA website (2020). AMA will publish them in the 2022 version of CPT, as well in the new Appendix Q, which includes the codes, the vaccine manufacturer and name, as well as the National Drug Code (NDC) and dosage interval information (AMA, 2020).
Ann Zeisset, RHIT, CCS, CCS-P, co-authored this article with Teri Jorwic, MPH, RHIA, CCS, CCS-P, FAHIMA.
Review these relevant YES Blog resources. These detail the ICD-10 and CPT codes developed to report, test, and treat the COVID-19 outbreak:
- Read our article, “CDC Releases Updated Coding & Reporting Guidelines for U07.1,” for the full coding and reporting guidelines for COVID-19 symptoms, infection, and screening tests, which are effective April 1 through September 30.
- Our previous articles, “AMA Releases Two New CPT Codes for COVID-19 Antibody Detection,” and “Selecting the Right COVID-19 Code: Should You Use CPT or HCPCS,” provide additional coding and reporting guidelines for COVID-19 laboratory tests.
- Part 1 in the “COVID-19 Explained” Series explores the Coronavirus’ history, and how to code suspected exposure to the virus.
- Part 2 dives into the ICD-10 codes for the Coronavirus symptoms and infection.
- Part 3 reviews the codes for screening for suspected COVID-19 infection.
- Read our article, “Twelve New ICD-10-PCS Hospital Procedure Codes Released for COVID-19 Treatment,” for PCS coding updates on COVID-19 treatments.
- Read our article, “Update on Billing COVID-19 Vaccine: CMS Issues IFC for No-Cost Coronavirus Treatment,” for information about insurance coverage on the impending COVID-19 vaccines.
- Read our article, “Review These New CPT Codes for COVID-19 Vaccines from the AMA,” for the latest CPT codes developed for the COVID-19 vaccinations.
- Read our article, “27 New ICD-10 Codes for COVID-19-Related Conditions, Monoclonal Antibodies, & More Take Effect January 1, 2021,” for the latest ICD-10 codes for COVID-19.
Do you need to learn how to code the COVID-19 vaccines or telehealth services? Enroll in the latest CPT Hot Topics learning series from YES HIM Education. This series dives into the HCPCS/CPT codes and guidelines for COVID-19 monoclonal antibodies, COVID-19 vaccines, and telehealth. The series also discusses payment policies for all three topics.