AMA CPT® Assistant - 2022 Issue 11 (November)
New COVID-19 Vaccine Codes: November Update (November Special Update 2022)
November Special Update 2022 page 1 New COVID-19 Vaccine Codes: November Update The Current Procedural Terminology (CPT®) Editorial Panel (the Panel) has approved a new vaccine product code (91316) and a new vaccine administration code (0164A) for the administration of a booster dose of the Moderna bivalent vaccine product to address severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease 2019 [COVID-19]) for patients aged 6 months through 5 years. These codes will become effective upon receiving emergency use authorization (EUA) from the Food and Drug Administration (FDA). In order to assist CPT code users in differentiating and...
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Article Overview
This premium CPT® Assistant update covers a November 2022 change to COVID-19 vaccine coding. It is intended for coding professionals, compliance staff, and clinicians who need to stay current on CPT vaccine code revisions, Appendix Q updates, and the surrounding AMA and CDC guidance context. The article also includes clinical examples and procedural descriptions illustrating the new coding structure for the affected pediatric age group.
Why This Topic Matters
Keeping pace with vaccine coding updates is important for accurate reporting, compliance, and alignment with current CPT guidance. This article helps readers understand what changed in the CPT vaccine coding structure and where the new information fits within Appendix Q and related immunization administration guidance.
Article Sections
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November Special Update 2022 page 1
Introduces the November 2022 CPT vaccine coding update and the broader context for the changes discussed in the article.
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Immunization Administration for Vaccines/Toxoids
Summarizes the new administration code and its relationship to the updated COVID-19 vaccine product coding.
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Vaccines, Toxoids
Summarizes the new vaccine product code and the related reporting context within the vaccine code category.
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Table 1 Excerpt from Appendix Q: New Moderna Bivalent Booster COVID-19 Vaccine Product and Vaccine Administration Codes
Presents an Appendix Q excerpt showing the new vaccine product and administration pairing along with the applicable patient age range.
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Clinical Example (91316) / Description of Procedure (91316)
Provides a clinical scenario and procedural context associated with the new vaccine product code.
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Clinical Example (0164A) / Description of Procedure (0164A)
Provides a clinical scenario and procedural context associated with the new administration code.
What You Will Learn
- What changed in the CPT COVID-19 vaccine code structure in this update
- How the article frames the relationship between the new vaccine product and administration codes
- What Appendix Q contributes to vaccine coding guidance
- What general age group is associated with the update
- What supporting guidance sources are referenced in connection with the update
Who Should Read This
- Medical coders
- Coding educators
- Compliance professionals
- Physicians and other qualified health care professionals
- Practice managers
- Immunization billing staff
Codes Discussed
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