Local Health Department Billing Manual

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COVID-19 Billing & Coding Information

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Overview​

Everything you need to know about COVID-19 coding and billing

Document Title​	Date Document Added	​ Source
General
​Coverage and Reimbursement of COVID-19 Vaccines, Vaccine Administration, and CostSharing under Medicaid, the Children’s Health Insurance Program, and Basic Health Program​	Oct 13, 2024​	​CMS
​Vaccine Pricing​​	​Oct 7, 2024	​CMS
​Flu Season Payment Allowances & Effective Dates 2024-2025 Flu Season​	Aug 20, 2024​	CMS​
​Medicare Part B Payment for 2024 - 2025 COVID 19 Vaccines​	Aug 20, 2024​	​CMS
​2024 Guidelines for Better Management of Self-Pay Patients​	May 26, 2024	Office Ally
​ New Guidance on Self-Pay Patients Under No Surprise Billing Rules​	​May 26, 2024	​Health Law Blog
​Medicare Billing for COVID-19 Vaccine Shot Administration​	​Apr 29, 2024	​HHS
​  In-Home Vaccine Administration: Additional Payment​	Apr 29, 2024	CMS​
​ Older Adults Now Able to Receive Additional Dose of Updated COVID-19 Vaccine​	​Mar 30, 2024	CDC​
​ Review, Revise, Resolve - A look at the 2024 updates for CPT​	Mar 30, 2024​	​Wolters Kluwer
​Coding for COVID-19 Vaccine Shots​	Mar 30, 2024​	​CMS
​CPT Category I New Immunization Vaccine Codes​	​Feb 29, 2024	​AMA
​COVID-19 Vaccine and Monoclonal Antibody Billing for Home Health and Hospice Providers​	Jan 28, 2024​	Palmetto GBA​
​FAQs on Healthcare Billing Services for Covid-19 Vaccination​	Jan 28, 2024​	​QWAY Healthcare
​CPT Category I New Immunization Caccine Codes (Including Incorporation of ACIP Abbreviations Listing) Short Descriptors​	Jan 28, 2024​	AMA​
​ Coding for Vaccine Administration​	​Jan 28, 2024	​AAFP
​ CDC COVID-19 Vaccination Program Provder Requirements & Support​	Dec 22, 2023​	​CDC
​ Physicians and Other Clinicians: CMS Flexibilities to Fight COVID-19​	Dec 22, 2023​	CMS​
​ COVID-19 CPT vaccine and immunization codes​	Nov 30, 2023​	AMA​
​COVID-19: Updated Novavax COVID-19 Vaccine, Adjuvanted for Patients 12 & Older​	​Oct 27, 2023​	CMS​
​Find your COVID-19 Vaccine CPT® Codes | Types of vaccines for COVID | AMA (ama-assn.org)​	​Sep 21, 2023	​AMA
​ CPT Assistant guide: Coronavirus (SARS-CoV-2); August 2023 (updated) | AMA (ama-assn.org)​	Sep 21, 2023​	AMA​
​News: New long COVID trials start, ongoing study shows adverse events after COVID and vaccine​	Aug 24, 2023​	American Clinical Documentation Integrity Specialists​
​The CDC sees signs of a late summer COVID wave​	Jul 31, 2023​	NPR​
​PHE Unwinding: Restoring Routine Eligibility & Enrollment Operation in MD After the PHE Ends​	​Jun 30, 2023	MDH​
​ Updated COVID-19 Vaccines Providing Protection Against Omicron Variant Available at No Cost | CMS​	Mar 29, 2023​	​CMS
​CMS Waivers, Flexibilities, and the Transition Forward from the COVID-19​	​Mar 29, 2023	CMS​
​Diagnosis | Clinical Care Considerations | CDC​	Mar 29, 2023​	​CDC
​​Payer
​COVID-19: Taking Action - Aetna​	​Jun 28, 2024	Aetha​
​How Do Payers Cover COVID-19 Vaccines, Treatments, and Tests Post-PHE?​	​Apr 29, 2024	​Health Payer Intelligence
​Vaccine Pricing​	​Feb 29, 2024	​CMS
​COVID-19 oral antiviral commercialization | UHCprovider.com​	Dec 22, 2023	United Healthcare
​​CMS COVID-19: Updated mRNA Vaccines for Patients 6 Months & Older​	Oct 27, 2023	​CMS
​Covid 19 Vaccine Pricing | CMS​	Oct 27, 2023​	CMS​
​Cigna CHCP - Resources - Cigna's response to COVID-19​	Sep 21, 2023​	CIGNA​
​CMS COVID-19 Updated mRNA Vaccines for Patients 6 months and Older 2023-09-14-OCE | CMS​	​Sep 21, 2023	​CMS
​Kaiser COVID-19-Provider Claims FAQs ​	​Jun 30, 2023	Kaiser​
​ ​Category I Vaccine Codes ​	Mar 29, 2023	AMA
​ Updated COVID-19 CPT Codes​	Mar 29, 2023	AMA
​ ​Telehealth policy changes after the COVID-19 public health emergency ​	Mar 29, 2023	​ HHS
​Category I Vaccine Codes ​	Mar 29, 2023	AMA​
​Updated COVID-19 CPT Codes​	Mar 29, 2023	AMA​
​Telehealth policy changes after the COVID-19 public health emergency ​	Mar 29, 2023	HHS
​​ "CPT® Category I New SARS-CoV-2 Vaccine Codes Long  Descriptors" ​	Mar 29, 2023	AMA​
​CPT Assistant guide: COVID-19​	Mar 29, 2023	​AMA
​COVID-19 CPT vaccine and immunization codes​	Mar 29, 2023	AMA​
​UnitedHealthcare COVID-19 Provider Billing Guidance as of April 3, 2023 ​	​Apr 15, 2023	United Healthcare
​ CPT Assistant guide: COVID-19​	Mar 29, 2023​	AMA​
​ Coverage After COVID-19 ends​	​ Feb 22, 2023	CMS​
​CMS List of Telehealth Services for Calendar Year 2023​	​Feb 22, 2023	CMS​
​ ​Medicare Telehealth Orginatination Site Facility Fee, Q3014​	​Feb 22, 2023	CMS
​​​Public Health Emergency
​Status of Medicare Telehealth Waivers​​	Sep 15, 2024​	MGMA​
​​ COVID-19 CPT vaccine and immunization codes​	​Aug 24, 2023	​AMA
​ Coronavirus (SARS-CoV-2) vaccine: Long descriptors​	​ Aug 24, 2023	AMA​
​ Flexibilities & Policy Following the Expiration of the COVID-19 PHE​	Aug 24, 2024	MGMA
​ GovChat Live: Unwinding the Public Health Emergency​	Aug 24, 2023	MGMA​
​PHE Expiration Resource​	Jul 31, 2023​	​MGMA
​ FAQ: CMS Waivers, Flexibilities and the End of the COVID-19 PHE​	​ Jun 30, 2023	CMS​
​End of the Federal COVID-19 PHE Declaration​​	May 31, 2023​	CDC​
​Fact Sheet: End of the COVID-19 PHE​	May 31, 2023​	​HHS
​ COVID-19 Provider Resources​	May 31, 2023​	MDH​
​ COVID-19 Point of Care Reporting Tool​	​May 31, 2023	MedChi​
​Is Your Practice Enrolled with ImmuNet​	​May 31, 2023	​MedChi
​COVID-19 CPT vaccine and Immunization codes​	​May 31, 2023	​AMA
​ PHE Fact Sheet​	Mar 29, 2023​	HHS​
​ Coronavirus Waivers & Flexibilities​	​ Feb 22, 2023	​CMS
​ Fact Sheet: COVID-19 Public Health Emergency Transition Roadmap​	Feb 22, 2023​	HHS​

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