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COVID-19 Vaccine Codes: Updated Effective Date for Pfizer-BioNTech

Review Pfizer’s Fact Sheet for Healthcare Providers Administering Vaccine (Vaccination Providers) regarding the limitations of the emergency use authorization approved last week. During the COVID-19 Public Health Emergency (PHE), Medicare will cover and pay for the administration of the vaccine (when furnished consistent with the EUA).

CMS has prepared an updated payment and HCPCS Level I CPT code structure for specific COVID-19 vaccine information. Only bill for the vaccine administration codes when you submit claims to Medicare; do not include the vaccine product codes when vaccines are free.

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