301 COVID-19, mRNA, LNP-S, bivalent, PF, 10 mcg/0.2 mL dose

CVX Vaccination Code

CVX code

301

short name

COVID-19, mRNA, LNP-S, bivalent, PF, 10 mcg/0.2 mL dose

full name

SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, bivalent, preservative free, 10 mcg/0.2 mL dose, tris-sucrose formulation

status

Inactive

notes

Original strain + omicron BA.4/BA.5 bivalent Pfizer vaccine (5 yrs through 11 yrs), FDA rescinded 9/11/2023

vaccine

yes

updated

2023-10-26

groups

code	name	status
213	COVID-19	Inactive

ICD-10-CM

cpt® codes

code	descr	updated
91315	Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, bivalent spike protein, preservative free, 10 mcg/0.2 mL dosage, diluent reconstituted, tris-sucrose formulation, for intramuscular use note COVID-19 Vaccine - Potential EUA authorization bivalent booster for ages 5 yrs through 11 yrs	2024-01-11

documents

edition	status	name	pdf link
2022-12-08	Historic	COVID-19 Pfizer BioNTech EUA Recipient-Caregiver Fact Sheet- Pediatric 5yrs to <12 yrs
2023-04-28	Historic	COVID-19 Pfizer BioNTech EUA Recipient-Caregiver Fact Sheet - all ages 6 months and older

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