CMS and the AMA developed this code structure to make claims processing for administration of COVID-19 vaccines and monoclonal antibody infusions that get FDA EUA or FDA approval more efficient. Together, these codes describe the administration of the COVID-19 vaccines and the monoclonal antibody products, as they become available. A CMS-issued HCPCS Level II code structure.An AMA-issued HCPCS Level I CPT code structure.
This release includes the coding structure for COVID-19 vaccine and m onoclonal antibody products, currently comprised of both of these:
#To hasten release pfizer vaccine docs install
Vaccine administration code for each doseĬMS and the American Medical Association (AMA) collaborated on a new approach to report use of COVID-19 vaccines. If you plan to administer the COVID-19 vaccines or COVID-19 monoclonal antibody products, especially if you plan to roster bill for codes that describe these services, download and install the newest release of PC-ACE (PDF). Review this page for information about Medicare coding for administering COVID-19 vaccines during and after the PHE.Īfter the FDA issues an emergency use authorization (EUA) or approves licensure of each COVID-19 vaccine product, CMS will identify the following for Medicare payment: View Infectious diseases for a list of waivers and flexibilities that were in place during the PHE. 
The COVID-19 public health emergency (PHE) ended at the end of the day on May 11, 2023.
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