Healthcare News: AMA announces new CPT codes for third doses of Pfizer, Moderna COVID-19 vaccines

August 23rd, 2021

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains a CPT code set update announced by the AMA for reporting third-dose COVID-19 vaccine administration for Pfizer/BioNTech and Moderna. It also notes the FDA authorization context for certain immunocompromised individuals and points readers to broader AMA guidance on COVID-19 vaccine coding. The piece is relevant to coders, billing staff, and clinicians working with vaccine administration reporting and current federal guidance.

Why This Topic Matters

Coding for COVID-19 vaccine administration changed as additional doses were authorized, so reimbursement, reporting, and claim accuracy depend on using the current AMA guidance. This article helps readers understand that a code set update occurred and where to look for further official instructions.

What You Will Learn

  • How the AMA updated the CPT code set for COVID-19 vaccine administration
  • The context for third-dose vaccine reporting for Pfizer/BioNTech and Moderna
  • Which federal agency action is mentioned alongside the coding update
  • Where to find additional AMA guidance on COVID-19 CPT coding

Who Should Read This

  • Medical coders
  • Billing and revenue cycle staff
  • Physician practices
  • Hospital outpatient departments
  • Immunization and vaccine administration teams

Codes Discussed

  • HCPCS Level II: 0003A
  • HCPCS Level II: 0013A

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