This week, the Centers for Medicare and Medicaid Services (CMS) issued the following
Medicare billing guidance regarding the FDA-approved updated COVID-19 vaccines for the 2024–2025 season:
These vaccines target currently circulating variants and provide better protection against serious consequences of COVID-19, including hospitalization and death:
- The Pfizer-BioNTech and Moderna COVID-19 vaccines include a monovalent (single) component that corresponds to the Omicron variant KP.2 strain of SARS-CoV-2.
- The Novavax COVID-19 Vaccine, Adjuvanted, includes a monovalent (single) component that corresponds to the Omicron variant JN.1 strain of SARS-CoV-2.
- CPT codes 91318–91322, effective August 22, 2024 (Note: no change to payment allowances from last season for 91318–91319)
- CPT code 91304, effective August 30, 2024
Use CPT code 90480 to bill for the administration of the vaccine.