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:
- 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 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.