COVID-19: Updated mRNA Vaccines for Patients 6 Months & Older

COVID-19: Updated mRNA Vaccines for Patients 6 Months & Older

September 14, 2023

On September 11, the FDA approved and authorized for emergency use updated Moderna and Pfizer-BioNTech COVID-19 vaccines formulated to more closely target currently circulating variants and provide better protection against serious consequences of COVID-19, including hospitalization and death. These vaccines have been updated to include a monovalent (single) component that corresponds to the Omicron variant XBB.1.5. The CDC recommends everyone 6 months and older get an updated COVID-19 vaccine.

Six New CPT Codes Effective September 11, 2023

  1. 90480 – COVID-19 Vaccine Administration
  2. 91318 – COVID-19 Vaccine, 3 mcg/0.2 mL
  3. 91319 – COVID-19 Vaccine, 10 mcg
  4. 91320 – COVID-19 Vaccine, 30 mcg
  5. 91321 – COVID-19 Vaccine, 25 mcg
  6. 91322 – COVID-19 Vaccine, 50 mcg

The federal government isn’t purchasing these products. Medicare Part B pays for the drug and its administration under the applicable Medicare Part B payment policy. Get the most current list of billing codes, including short descriptors, payment allowances, and effective dates.

Medicare no longer pays for these CPT Codes as of September 12, 2023:

91312, 91313, 91314, 91315, 91316, 91317, 0121A, 0124A, 0134A, 0141A, 0142A, 0144A, 0151A, 0154A, 0164A, 0171A, 0172A, 0173A, and 0174A

Visit the COVID-19 Vaccine Provider Toolkit for more information. Note: You may need to refresh your browser if you recently visited this webpage.

2023-09-14-OCE | CMS