The AMA CPT Editorial Panel has approved a unique CPT code for each of two COVID-19 vaccines and administration codes unique to each COVID-19 vaccine on November 10, 2020. The new CPT codes clinically distinguish each coronavirus vaccine for better tracking, reporting, and analysis that supports data-driven planning and allocation. These codes are effective immediately based upon Emergency use authorization approval from the Food and Drug Administration.
Navigating The Primary Care First Model.pdfRichard Smith
The healthcare landscape is undergoing a dynamic transformation, driven by a growing emphasis on value-based care and patient-centered outcomes. At the forefront of this shift is the Primary Care First Model, a voluntary alternative payment model introduced by the Centers for Medicare & Medicaid Services (CMS).
Navigating The Primary Care First Model.pptxRichard Smith
The healthcare landscape is undergoing a dynamic transformation, driven by a growing emphasis on value-based care and patient-centered outcomes. At the forefront of this shift is the Primary Care First Model, a voluntary alternative payment model introduced by the Centers for Medicare & Medicaid Services (CMS).
Understanding Mental Health Telehealth Billing.pdfRichard Smith
In recent years, the healthcare landscape has witnessed a significant shift towards telehealth services, and the field of mental health is no exception. With the advent of mental health telehealth, it has become increasingly important for mental health providers to be well-informed about the intricate process of billing for such services.
Understanding Mental Health Telehealth Billing.pptxRichard Smith
In recent years, the healthcare landscape has witnessed a significant shift towards telehealth services, and the field of mental health is no exception. With the advent of mental health telehealth, it has become increasingly important for mental health providers to be well-informed about the intricate process of billing for such services.
Orthopedic Billing Compliance Checklist A Guide For Healthcare Providers.pdfRichard Smith
Orthopedic billing compliance is essential for healthcare providers to avoid costly audits and penalties. By following a comprehensive orthopedic billing compliance checklist, providers can ensure that their claims are accurate, complete, and supported by proper documentation.
Orthopedic Billing Compliance Checklist A Guide For Healthcare Providers.pptxRichard Smith
Orthopedic billing compliance is essential for healthcare providers to avoid costly audits and penalties. By following a comprehensive orthopedic billing compliance checklist, providers can ensure that their claims are accurate, complete, and supported by proper documentation.
The Importance Of Accurate Charge Entry In Medical Billing Avoiding Costly E...Richard Smith
Effective medical billing is essential for healthcare organizations to maintain financial stability and ensure accurate reimbursement. One critical aspect of the medical billing process is accurate charge entry. Accurate charge entry involves meticulously recording the services provided to patients, along with their corresponding charges.
The Importance Of Accurate Charge Entry In Medical Billing Avoiding Costly E...Richard Smith
Effective medical billing is essential for healthcare organizations to maintain financial stability and ensure accurate reimbursement. One critical aspect of the medical billing process is accurate charge entry.
Navigating The Primary Care First Model.pdfRichard Smith
The healthcare landscape is undergoing a dynamic transformation, driven by a growing emphasis on value-based care and patient-centered outcomes. At the forefront of this shift is the Primary Care First Model, a voluntary alternative payment model introduced by the Centers for Medicare & Medicaid Services (CMS).
Navigating The Primary Care First Model.pptxRichard Smith
The healthcare landscape is undergoing a dynamic transformation, driven by a growing emphasis on value-based care and patient-centered outcomes. At the forefront of this shift is the Primary Care First Model, a voluntary alternative payment model introduced by the Centers for Medicare & Medicaid Services (CMS).
Understanding Mental Health Telehealth Billing.pdfRichard Smith
In recent years, the healthcare landscape has witnessed a significant shift towards telehealth services, and the field of mental health is no exception. With the advent of mental health telehealth, it has become increasingly important for mental health providers to be well-informed about the intricate process of billing for such services.
Understanding Mental Health Telehealth Billing.pptxRichard Smith
In recent years, the healthcare landscape has witnessed a significant shift towards telehealth services, and the field of mental health is no exception. With the advent of mental health telehealth, it has become increasingly important for mental health providers to be well-informed about the intricate process of billing for such services.
Orthopedic Billing Compliance Checklist A Guide For Healthcare Providers.pdfRichard Smith
Orthopedic billing compliance is essential for healthcare providers to avoid costly audits and penalties. By following a comprehensive orthopedic billing compliance checklist, providers can ensure that their claims are accurate, complete, and supported by proper documentation.
Orthopedic Billing Compliance Checklist A Guide For Healthcare Providers.pptxRichard Smith
Orthopedic billing compliance is essential for healthcare providers to avoid costly audits and penalties. By following a comprehensive orthopedic billing compliance checklist, providers can ensure that their claims are accurate, complete, and supported by proper documentation.
The Importance Of Accurate Charge Entry In Medical Billing Avoiding Costly E...Richard Smith
Effective medical billing is essential for healthcare organizations to maintain financial stability and ensure accurate reimbursement. One critical aspect of the medical billing process is accurate charge entry. Accurate charge entry involves meticulously recording the services provided to patients, along with their corresponding charges.
The Importance Of Accurate Charge Entry In Medical Billing Avoiding Costly E...Richard Smith
Effective medical billing is essential for healthcare organizations to maintain financial stability and ensure accurate reimbursement. One critical aspect of the medical billing process is accurate charge entry.
Understanding Basics Of Internal Medicine Billing And Coding.pdfRichard Smith
Medical billing and coding are critical components of the healthcare industry, ensuring that healthcare providers are reimbursed for their services accurately and efficiently. For those specializing in internal medicine, understanding the basics of internal medicine billing is essential.
Understanding Basics Of Internal Medicine Billing And Coding.pptxRichard Smith
Medical billing and coding are critical components of the healthcare industry, ensuring that healthcare providers are reimbursed for their services accurately and efficiently. For those specializing in internal medicine, understanding the basics of internal medicine billing is essential.
Mental Health Billing And Credentialing Services For Solo Practitioners.pptxRichard Smith
Solo mental health practitioners play a vital role in the healthcare system, providing essential services to those in need of mental and emotional support. However, managing the administrative aspects of their practice, including mental health billing and credentialing, can be a significant challenge.
Mental Health Billing And Credentialing Services For Solo Practitioners.pdfRichard Smith
Solo mental health practitioners play a vital role in the healthcare system, providing essential services to those in need of mental and emotional support. However, managing the administrative aspects of their practice, including mental health billing and credentialing, can be a significant challenge.
Navigating The Complex World Of Family Practice Billing.pdfRichard Smith
Family practice billing is an essential component of healthcare administration, crucial for ensuring that medical providers are reimbursed accurately and timely for the services they render to their patients. This article provides an in-depth overview of family practice billing, exploring into its significance, common challenges, strategies for effective billing, and the benefits of outsourcing this crucial aspect of healthcare management.
Navigating The Complex World Of Family Practice Billing.pptxRichard Smith
Family practice billing is an essential component of healthcare administration, crucial for ensuring that medical providers are reimbursed accurately and timely for the services they render to their patients. This article provides an in-depth overview of family practice billing, exploring into its significance, common challenges, strategies for effective billing, and the benefits of outsourcing this crucial aspect of healthcare management.
Navigating The Complex World Of Emergency Medical Specialists Billing.pdfRichard Smith
Emergency medical billing is a critical component of healthcare services, playing a pivotal role in ensuring that healthcare providers are adequately compensated for their life-saving efforts. However, it’s a complex process that demands a deep understanding of various factors, including different types of services, coding guidelines, insurance reimbursement procedures, and evolving regulations.
Navigating The Complex World Of Emergency Medical Specialists Billing.pptxRichard Smith
Emergency medical billing is a critical component of healthcare services, playing a pivotal role in ensuring that healthcare providers are adequately compensated for their life-saving efforts. However, it’s a complex process that demands a deep understanding of various factors, including different types of services, coding guidelines, insurance reimbursement procedures, and evolving regulations.
Streamlining Medical Billing Services In North Carolina (MDS) Can Empower Hea...Richard Smith
Efficient medical billing and coding are crucial for healthcare providers in North Carolina (NC) to ensure timely reimbursements and maintain a sustainable revenue stream. However, navigating the complexities of medical billing can be a daunting task, diverting valuable time and resources away from patient care. This is where Medisys Data Solutions (MDS) steps in, offering comprehensive medical billing services in North Carolina tailored to the unique needs of healthcare providers in NC.
Coding For Pulmonary Function Tests.pptxRichard Smith
Need of Choosing Oncology Billing Company
As an oncology practice, selecting the right billing company is a crucial decision that can significantly impact your financial success and regulatory compliance. With so many billing companies to choose from, it can be challenging to identify the right fit for your practice’s unique needs.
Coding For Pulmonary Function Tests.pdfRichard Smith
Coding for pulmonary function tests (PFTs) is an important aspect of healthcare billing and reimbursement. These tests are used to evaluate lung function and can be useful in diagnosing and monitoring respiratory conditions such as asthma, COPD, and pulmonary fibrosis. There are several different types of PFTs, each with its own specific set of CPT codes that healthcare providers must use for billing purposes.
Coding For Pulmonary Function Tests.pptxRichard Smith
Coding for pulmonary function tests (PFTs) is an important aspect of healthcare billing and reimbursement. These tests are used to evaluate lung function and can be useful in diagnosing and monitoring respiratory conditions such as asthma, COPD, and pulmonary fibrosis. There are several different types of PFTs, each with its own specific set of CPT codes that healthcare providers must use for billing purposes.
Mastering Medical Billing In Kentucky Answers To Common Billing Questions.pdfRichard Smith
Medisys Data Solutions (MDS) understand the challenges that healthcare professionals face when it comes to medical billing and coding in Kentucky. The complex landscape of billing regulations, ever-evolving guidelines, and the need for compliance can be overwhelming. That’s why we’re here to offer our comprehensive medical billing and coding services tailored specifically to meet the needs of healthcare providers in Kentucky.
Mastering Medical Billing In Kentucky Answers To Common Billing Questions.pptxRichard Smith
Medisys Data Solutions (MDS) understand the challenges that healthcare professionals face when it comes to medical billing and coding in Kentucky. The complex landscape of billing regulations, ever-evolving guidelines, and the need for compliance can be overwhelming. That’s why we’re here to offer our comprehensive medical billing and coding services tailored specifically to meet the needs of healthcare providers in Kentucky.
Understand Basics Of Family Practice Medical Billing.pdfRichard Smith
Family practice medical billing is an essential aspect of the healthcare industry. Accurate and timely billing ensures that healthcare providers receive payment for the services they provide to patients. This, in turn, enables healthcare providers to maintain their operations, invest in new technologies, and provide the best possible care to their patients.
Understand Basics Of Family Practice Medical Billing.pptxRichard Smith
Family practice medical billing is an essential aspect of the healthcare industry. Accurate and timely billing ensures that healthcare providers receive payment for the services they provide to patients. This, in turn, enables healthcare providers to maintain their operations, invest in new technologies, and provide the best possible care to their patients.
Coding Guidelines For Evaluation And Management Services In Internal Medicine...Richard Smith
Evaluation and management (E/M) services play a crucial role in the practice of internists, and accurate coding for these visits is essential for the financial well-being of medical practice. However, determining the appropriate level of billing for an E/M code can be challenging for many physicians.
Coding Guidelines For Evaluation And Management Services In Internal Medicine...Richard Smith
Evaluation and management (E/M) services play a crucial role in the practice of internists, and accurate coding for these visits is essential for the financial well-being of medical practice. However, determining the appropriate level of billing for an E/M code can be challenging for many physicians.
CPT Codes For Pulmonary Diagnostic Testing And Therapies.pdfRichard Smith
Pulmonary diagnostic testing and therapies play a crucial role in assessing and treating respiratory conditions. To standardize the reporting of these procedures, the Current Procedural Terminology (CPT) codes provide a structured system. In this article, we will explore some common CPT codes associated with pulmonary diagnostic testing and therapies, including bronchoscopy, thoracentesis, pulmonary function tests (PFTs), exercise stress testing, polysomnography/sleep studies, thoracoscopy, and lung biopsy.
CPT Codes For Pulmonary Diagnostic Testing And Therapies.pptxRichard Smith
Pulmonary diagnostic testing and therapies play a crucial role in assessing and treating respiratory conditions. To standardize the reporting of these procedures, the Current Procedural Terminology (CPT) codes provide a structured system. In this article, we will explore some common CPT codes associated with pulmonary diagnostic testing and therapies, including bronchoscopy, thoracentesis, pulmonary function tests (PFTs), exercise stress testing, polysomnography/sleep studies, thoracoscopy, and lung biopsy.
Understanding Basics Of Internal Medicine Billing And Coding.pdfRichard Smith
Medical billing and coding are critical components of the healthcare industry, ensuring that healthcare providers are reimbursed for their services accurately and efficiently. For those specializing in internal medicine, understanding the basics of internal medicine billing is essential.
Understanding Basics Of Internal Medicine Billing And Coding.pptxRichard Smith
Medical billing and coding are critical components of the healthcare industry, ensuring that healthcare providers are reimbursed for their services accurately and efficiently. For those specializing in internal medicine, understanding the basics of internal medicine billing is essential.
Mental Health Billing And Credentialing Services For Solo Practitioners.pptxRichard Smith
Solo mental health practitioners play a vital role in the healthcare system, providing essential services to those in need of mental and emotional support. However, managing the administrative aspects of their practice, including mental health billing and credentialing, can be a significant challenge.
Mental Health Billing And Credentialing Services For Solo Practitioners.pdfRichard Smith
Solo mental health practitioners play a vital role in the healthcare system, providing essential services to those in need of mental and emotional support. However, managing the administrative aspects of their practice, including mental health billing and credentialing, can be a significant challenge.
Navigating The Complex World Of Family Practice Billing.pdfRichard Smith
Family practice billing is an essential component of healthcare administration, crucial for ensuring that medical providers are reimbursed accurately and timely for the services they render to their patients. This article provides an in-depth overview of family practice billing, exploring into its significance, common challenges, strategies for effective billing, and the benefits of outsourcing this crucial aspect of healthcare management.
Navigating The Complex World Of Family Practice Billing.pptxRichard Smith
Family practice billing is an essential component of healthcare administration, crucial for ensuring that medical providers are reimbursed accurately and timely for the services they render to their patients. This article provides an in-depth overview of family practice billing, exploring into its significance, common challenges, strategies for effective billing, and the benefits of outsourcing this crucial aspect of healthcare management.
Navigating The Complex World Of Emergency Medical Specialists Billing.pdfRichard Smith
Emergency medical billing is a critical component of healthcare services, playing a pivotal role in ensuring that healthcare providers are adequately compensated for their life-saving efforts. However, it’s a complex process that demands a deep understanding of various factors, including different types of services, coding guidelines, insurance reimbursement procedures, and evolving regulations.
Navigating The Complex World Of Emergency Medical Specialists Billing.pptxRichard Smith
Emergency medical billing is a critical component of healthcare services, playing a pivotal role in ensuring that healthcare providers are adequately compensated for their life-saving efforts. However, it’s a complex process that demands a deep understanding of various factors, including different types of services, coding guidelines, insurance reimbursement procedures, and evolving regulations.
Streamlining Medical Billing Services In North Carolina (MDS) Can Empower Hea...Richard Smith
Efficient medical billing and coding are crucial for healthcare providers in North Carolina (NC) to ensure timely reimbursements and maintain a sustainable revenue stream. However, navigating the complexities of medical billing can be a daunting task, diverting valuable time and resources away from patient care. This is where Medisys Data Solutions (MDS) steps in, offering comprehensive medical billing services in North Carolina tailored to the unique needs of healthcare providers in NC.
Coding For Pulmonary Function Tests.pptxRichard Smith
Need of Choosing Oncology Billing Company
As an oncology practice, selecting the right billing company is a crucial decision that can significantly impact your financial success and regulatory compliance. With so many billing companies to choose from, it can be challenging to identify the right fit for your practice’s unique needs.
Coding For Pulmonary Function Tests.pdfRichard Smith
Coding for pulmonary function tests (PFTs) is an important aspect of healthcare billing and reimbursement. These tests are used to evaluate lung function and can be useful in diagnosing and monitoring respiratory conditions such as asthma, COPD, and pulmonary fibrosis. There are several different types of PFTs, each with its own specific set of CPT codes that healthcare providers must use for billing purposes.
Coding For Pulmonary Function Tests.pptxRichard Smith
Coding for pulmonary function tests (PFTs) is an important aspect of healthcare billing and reimbursement. These tests are used to evaluate lung function and can be useful in diagnosing and monitoring respiratory conditions such as asthma, COPD, and pulmonary fibrosis. There are several different types of PFTs, each with its own specific set of CPT codes that healthcare providers must use for billing purposes.
Mastering Medical Billing In Kentucky Answers To Common Billing Questions.pdfRichard Smith
Medisys Data Solutions (MDS) understand the challenges that healthcare professionals face when it comes to medical billing and coding in Kentucky. The complex landscape of billing regulations, ever-evolving guidelines, and the need for compliance can be overwhelming. That’s why we’re here to offer our comprehensive medical billing and coding services tailored specifically to meet the needs of healthcare providers in Kentucky.
Mastering Medical Billing In Kentucky Answers To Common Billing Questions.pptxRichard Smith
Medisys Data Solutions (MDS) understand the challenges that healthcare professionals face when it comes to medical billing and coding in Kentucky. The complex landscape of billing regulations, ever-evolving guidelines, and the need for compliance can be overwhelming. That’s why we’re here to offer our comprehensive medical billing and coding services tailored specifically to meet the needs of healthcare providers in Kentucky.
Understand Basics Of Family Practice Medical Billing.pdfRichard Smith
Family practice medical billing is an essential aspect of the healthcare industry. Accurate and timely billing ensures that healthcare providers receive payment for the services they provide to patients. This, in turn, enables healthcare providers to maintain their operations, invest in new technologies, and provide the best possible care to their patients.
Understand Basics Of Family Practice Medical Billing.pptxRichard Smith
Family practice medical billing is an essential aspect of the healthcare industry. Accurate and timely billing ensures that healthcare providers receive payment for the services they provide to patients. This, in turn, enables healthcare providers to maintain their operations, invest in new technologies, and provide the best possible care to their patients.
Coding Guidelines For Evaluation And Management Services In Internal Medicine...Richard Smith
Evaluation and management (E/M) services play a crucial role in the practice of internists, and accurate coding for these visits is essential for the financial well-being of medical practice. However, determining the appropriate level of billing for an E/M code can be challenging for many physicians.
Coding Guidelines For Evaluation And Management Services In Internal Medicine...Richard Smith
Evaluation and management (E/M) services play a crucial role in the practice of internists, and accurate coding for these visits is essential for the financial well-being of medical practice. However, determining the appropriate level of billing for an E/M code can be challenging for many physicians.
CPT Codes For Pulmonary Diagnostic Testing And Therapies.pdfRichard Smith
Pulmonary diagnostic testing and therapies play a crucial role in assessing and treating respiratory conditions. To standardize the reporting of these procedures, the Current Procedural Terminology (CPT) codes provide a structured system. In this article, we will explore some common CPT codes associated with pulmonary diagnostic testing and therapies, including bronchoscopy, thoracentesis, pulmonary function tests (PFTs), exercise stress testing, polysomnography/sleep studies, thoracoscopy, and lung biopsy.
CPT Codes For Pulmonary Diagnostic Testing And Therapies.pptxRichard Smith
Pulmonary diagnostic testing and therapies play a crucial role in assessing and treating respiratory conditions. To standardize the reporting of these procedures, the Current Procedural Terminology (CPT) codes provide a structured system. In this article, we will explore some common CPT codes associated with pulmonary diagnostic testing and therapies, including bronchoscopy, thoracentesis, pulmonary function tests (PFTs), exercise stress testing, polysomnography/sleep studies, thoracoscopy, and lung biopsy.
2. Call us at: 302-261-9187
Email us at: richard.smith@medisysdata.com
CPT Codes For COVID-19 Vaccination
AMA approved a unique CPT code for COVID-19 Vaccination and administration codes to facilitate the tracking of
vaccines administered.
The AMA CPT Editorial Panel has approved a unique CPT code for each of two COVID-19 vaccines and administration
codes unique to each COVID-19 vaccine on November 10, 2020. The new CPT codes clinically distinguish each
coronavirus vaccine for better tracking, reporting, and analysis that supports data-driven planning and allocation. These
codes are effective immediately based upon Emergency use authorization approval from the Food and Drug
Administration.
CPT Codes for COVID-19 vaccine
91300
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) vaccine, mRNA-LNP,
spike protein, preservative-free, 30 mcg/0.3mL dosages, diluent reconstituted, for intramuscular use. (This COVID-19
vaccine is manufactured by Pfizer)
91301
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) vaccine, mRNA-LNP,
spike protein, preservative-free, 100 mcg/0.5mL dosages, for intramuscular use
3. Call us at: 302-261-9187
Email us at: richard.smith@medisysdata.com
CPT Codes For COVID-19 Vaccination
With the release of these specific CPT codes for vaccines, the CPT Editorial Panel has worked with the Centers for
Medicare and Medicaid Services (CMS) to create new vaccine administration codes that are both distinct to each
coronavirus vaccine and the specific dose in the required schedule
Now, let’s look at the new vaccine administration CPT codes as well as their descriptions.
Administration CPT codes
0001A
Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-
2) (Coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, preservative-free, 30 mcg/0.3mL dosages, diluent
reconstituted; first dose.
0002A
Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-
2) (Coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, preservative-free, 30 mcg/0.3mL dosages, diluent
reconstituted; second dose.
4. Call us at: 302-261-9187
Email us at: richard.smith@medisysdata.com
CPT Codes For COVID-19 Vaccination
0011A
Immunization administration by intramuscular injection of Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-
2) (Coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, preservative-free, 100 mcg/0.5mL dosages; first
dose.
0012A
Immunization administration by intramuscular injection of Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-
2) (Coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, preservative-free, 100 mcg/0.5mL dosages;
second dose.
All the new vaccine-specific CPT codes published in today’s update will be available for use and effective upon each new
coronavirus vaccine receiving Emergency Use Authorization or approval from the Food and Drug Administration.
Now, the important concern is these new codes and their descriptors will need to be manually uploaded into EHR and
other health systems because they are not reflected in the 2020 or 2021 CPT codebook.
SARS-CoV-2 related CPT codes
SARS-CoV-2 related CPT codes that have been approved and published for the 2021 CPT code set are given below:
5. Call us at: 302-261-9187
Email us at: richard.smith@medisysdata.com
CPT Codes For COVID-19 Vaccination
• 87635-Report infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome
coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), amplified probe technique. The new code was effective
March 13, 2020.
• 86318 -Report immunoassay for infectious agent antibodies and to be a parent to 86328; addition of code 86328 to
report single step antibody testing for severe acute respiratory syndrome coronavirus 2; addition of child code 86769
to report multiple-step antibody testing for severe acute respiratory syndrome coronavirus 2; and revision of the
Immunology guidelines. The new codes and revision were effective April 10, 2020.
• Accepted the addition of PLA code 0202U to report the BioFire® Respiratory Panel 2.1 (RP2.1) test. The new code was
effective May 20, 2020.
• Accepted addition of code 87426 to report infectious agent antigen detection by immunoassay technique of SARS-
CoV and SARS-CoV-2. Also, two new PLA codes (0223U and 0224U) were accepted for detection of SARS-CoV-2.
• Accepted addition of codes 86408 for reporting coronavirus 2 (SARS-CoV-2) neutralizing antibody screen and 86409
for reporting coronavirus 2 (SARS-CoV-2) neutralizing antibody titer. Also, two new PLA codes (0225U and 0226U)
were accepted for detection of SARS-CoV-2. These new codes are effective Aug. 10, 2020.
• Accepted addition of code 99072 for the additional supplies and clinical staff time required to mitigate transmission
of respiratory infectious disease while providing evaluation, treatment, or procedural services during a public health
emergency, as defined by law. Also, one code, 86413, was created for reporting quantitative antibody detection of
severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).
6. Call us at: 302-261-9187
Email us at: richard.smith@medisysdata.com
CPT Codes For COVID-19 Vaccination
• Accepted addition of code 87636 for reporting combined respiratory virus multiplex testing for either SARS-CoV-2
with Influenza A&B, code 87637 for combined respiratory virus multiplex testing for either SARS-CoV-2 with Influenza
A&B and RSV, and 87811for antigen detection of SARS-CoV-2 by direct optical (i.e., visual) observation. Two new PLA
codes (0240U and 0241U) were accepted for detection of SARS-CoV-2, Influenza A, and Influenza B; code 0241U also
detects RSV.
• Additionally, Immunology guidelines were also revised, along with codes 87301, 87802 and their subsidiary codes.
• Accepted addition of two Category I codes to report SARS-CoV-2 vaccine and immunization administration codes.
Codes 91302, 0021A, and 0022A are used to report the AstraZeneca COVID-19 vaccine these codes were published
on December 17, 2020, and will be effective upon receiving Emergency Use Authorization or approval from the Food
and Drug Administration.
• Accepted addition of code 87428 for reporting multiplex viral pathogen panel using antigen immunoassay technique
for SARS-CoV-2 testing along with influenza A and influenza B.
• Accepted addition of codes addition of six Category I codes to report SARS-CoV-2 vaccine and immunization
administration codes. Codes 91300, 0001A, and 0002A are used to report the Pfizer-BioNTech. COVID-19 vaccine and
91301, 0011A, and 0012A are used to report the Moderna COVID-19 vaccine. These codes were published on
November 10, 2020, and will be effective upon receiving Emergency Use Authorization or approval from the Food
and Drug Administration.
7. Call us at: 302-261-9187
Email us at: richard.smith@medisysdata.com
CPT Codes For COVID-19 Vaccination
• Accepted addition of one Category I code to report SARS-CoV-2 vaccine and immunization administration codes.
Codes 91303, 0031A are used to report the Janssen COVID-19 vaccine. These codes were published on January 19,
2021, and will be effective upon receiving Emergency Use Authorization or approval from the Food and Drug
Administration.
Medisysdata is an experts in medical billing and coding and we are your partner during these challenging times. Our
professionals are up-to-date on the coronavirus codes and can ensure that your practice gets paid for the services you’re
providing to patients.
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8 The Green STE A, Dover,
Delaware 19901. USA.
Phone Number
302-261-9187
E-mail Address
info@medisysdata.com
THANK YOU
If you have any questions or queries about medical billing services, our member of staff
will always be happy to help. Feel free to contact us.