Third Group of CPT COVID-19 Vaccine Coding Guidelines Released by AMA

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 from AstraZeneca and University of Oxford (AMA, 2020). The codes will be available for use pending the Food and Drug Administration (FDA) emergency use authorization for this vaccine.

CPT already has codes for the Pfizer and Moderna vaccines that received the FDA authorization. Having the codes ready for the next anticipated product will be essential to track the vaccine’s administration. As with the Pfizer and Moderna vaccines, the AstraZeneca vaccine will require a two-dose administration.

The new codes include a vaccine-specific code and two administration codes – one for the first dose and one 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

There are now a total of nine codes currently available for three COVID-19 vaccines and two-dose administration. It is anticipated that the list will have additions as new vaccines are developed and approved for use.

The CPT COVID-19 vaccine coding guidelines are available on the AMA website (2020). They be published 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).

Note that the administration and vaccine codes are linked. For the administration codes, the first digit is 0, with 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. It is anticipated that this structure will continue with codes that are released for additional vaccines developed for COVID-19.

Ann Zeisset, RHIT, CCS, CCS-P, co-authored this article with Teri Jorwic, MPH, RHIA, CCS, CCS-P, FAHIMA.

Review these YES Blog resources that detail the ICD-10 and CPT codes developed to report, test, and treat the COVID-19 outbreak:

covid-19 respiratory hot topics webinarDo you want to learn the ICD-10-CM coding guidelines for COVID-19 code U07.1? Sign up for our Respiratory Diagnoses Hot Topics Webinar and find out how to code Coronavirus infections, symptoms, screening, and patient encounters. The webinar on hot coding topics provides an overview of the Official Coding Guidelines for COVID-19. See more here.

Teri Jorwic

Contract Educator, MPH, RHIA, CCS, CCS-P, FAHIMA
COVID-19 vaccine coding

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