August 17, 2023

Updates from Centers for Medicare and Medicaid Services

CMS has provided 3 updates about Medicare and Medicaid Authorizations.

COVID-19: CPT Codes for Vaccines No Longer Authorized

  • June 1, 2023, Janssen: 0031A, 0034A, and 91303
  • April 18, 2023, Moderna: 0011A, 0012A, 0013A, 0064A, 0091A, 0092A, 0093A, 0094A, 0111A, 0112A, 0113A, 91301, 91306, 91309, and 91311
  • April 18, 2023, Pfizer: 0001A, 0002A, 0003A, 0004A, 0051A, 0052A, 0053A, 0054A, 0071A, 0072A, 0073A, 0074A, 0081A, 0082A, 0083A, 91300, 91305, 91307, and 91308

Visit the COVID-19 Vaccine Provider Toolkit for more information, and get the most current list of billing codes, payment allowances, and effective dates. Note: You may need to refresh your browser if you recently visited these webpages.

ICD-10 & Other Coding Revisions to National Coverage Determinations: January 2024 Update

Learn about this quarterly update:

  • New codes
  • Recent changes
  • How to find coding information

Medicare Provider Enrollment — Revised

Learn what’s changed, including information and resources for PECOS 2.0.