In a recent development, the FDA has authorized the emergency use of updated Moderna and Pfizer-BioNTech COVID-19 vaccines. These updates have been carefully formulated to better target the currently circulating variants of the virus. The primary goal is to provide increased protection against severe consequences of COVID-19, including hospitalization and mortality.
Changes to the vaccine include:
In addition to the vaccine updates, there have been some changes to the CPT codes for COVID-19-related services:
New CPT Codes Effective September 11, 2023:
It’s important to note that the federal government is not purchasing these products; instead, Medicare Part B covers the drug and its administration under the applicable Medicare Part B payment policy. For the most up-to-date billing codes and related information, please visit the provided link.
Changes to Medicare Coverage:
As of September 12, 2023, Medicare will no longer cover the following CPT Codes:
91312, 91313, 91314, 91315, 91316, 91317, 0121A, 0124A, 0134A, 0141A, 0142A, 0144A, 0151A, 0154A, 0164A, 0171A, 0172A, 0173A, and 0174A.
For further details and additional resources, you can explore the COVID-19 Vaccine Provider Toolkit on the CMS.gov website.
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