Guidelines and codes for COVID-19 vaccine administration
What codes should we use to bill vaccine administration for COVID-19?
The American Medical Association (AMA) issued new and revised codes for the COVID-19 vaccines approved for the upcoming cold and flu season. Only one new administration code was issued for use with any COVID-19 vaccine going forward. Providers should discontinue use of previously issued administration codes.
Providers should resume billing COVID-19 vaccines in the same manner as other vaccines. The vaccine and administration procedure code should be submitted on one claim. If administering a COVID-19 vaccine that was supplied for free from the government, providers are reminded to append modifier “SL” to the vaccine procedure code only, to indicate a state supplied vaccine. A zero-dollar charge should be applied for any vaccines supplied to the provider for free. As a reminder, services, medications and/or supplies available at no cost to providers are not eligible for reimbursement.
