COVID-19 Vaccines Additional Doses: Codes & Payment
August 23, 2021
The FDA amended the emergency use authorizations (EUAs) for both the Pfizer BioNTech COVID-19 vaccine and the Moderna COVID-19 vaccine to allow for an additional dose in certain immunocompromised people.
Effective August 12, 2021, Centers for Medicare & Medicaid Services (CMS) will pay to administer additional doses of COVID-19 vaccines consistent with the FDA EUAs, using CPT code 0003A for the Pfizer vaccine and CPT code 0013A for the Moderna vaccine. CMS will pay the same amount to administer this additional dose as paid for other doses of the COVID-19 vaccine (approximately $40 each).
CMS will hold and then process all claims with these codes after completed claims system updates (no later than August 27).
Learn more about Medicare COVID-19 vaccine: