Local Health Department Billing Manual

COVID-19 Billing & Coding Information

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


Document Title​
Document DateExpirationSource
General
Medicare Billing for COVID-19 Vaccine Shot Administration​
​Apr-2024
No date​HHS​

 In-Home Vaccine Administration: Additional Payment

Apr-2024

No date​

​CMS
Older Adults Now Able to Receive Additional Dose of Updated COVID-19 Vaccine
Feb-2024​​No date
CDC​​​
Coding for COVID-19 Vaccine Shots

Jan-2024​​No date
CMS​

Review, Revise, Resolve - A look at the 2024 updates for CPT

Dec-2023

No date

Wolters Kluwer​
CPT Category I New Immunization Vaccine Codes
Dec-2023​
​No date
AMA​
Coding for Vaccine Administration
​Dec-2023
​No date
AAFP​
CPT Category I New Immunization Caccine Codes (Including Incorporation of ACIP Abbreviations Listing) Short Descriptors
​Dec-2023
​No date
AMA​
FAQs on Healthcare Billing Services for Covid-19 Vaccination
​Aug-2021
​No date
​QWAY Healthcare
COVID-19 Vaccine and Monoclonal Antibody Billing for Home Health and Hospice Providers
​Jun-2021
​No date
​Palmetto GBA
Physicians and Other Clinicians: CMS Flexibilities to Fight COVID-19
Nov-2023​​No date
CMS​
CDC COVID-19 Vaccination Program Provder Requirements & Support
Oct-2023​No date​CDC​
COVID-19 Immunization Schedule Ages 5 yrs - olderFeb-2022 No date
Maryland Referral Form Ambulatory Monoclonal Antibody Infusion Treatment for COVID-19Dec-2021 No date  MDH
COVID-19 New Administration Code for Pfizer Pediatric Vaccine Booster Dose May-2022
No date

​​Updated COVID-19 Vaccines Providing Protection Against Omicron Variant Available at No Cost | CMS
Sep-2022​
​No date
​CMS
CMS Waivers, Flexibilities, and the Transition Forward from the COVID-19
Feb-2023​​No date
CMS​


Jan-2023​

No date

CDC​


Jun-2022

​No date 

​MDH


Jul-2023​

​No date

NPR
News: New long COVID trials start, ongoing study shows adverse events after COVID and vaccine
Aug-2023​​No date
​American Clinical Documentation Integrity Specialists
Find your COVID-19 Vaccine CPT® Codes | Types of vaccines for COVID | AMA (ama-assn.org)
​No date
No date​​AMA
CPT Assistant guide: Coronavirus (SARS-CoV-2); August 2023 (updated) | AMA (ama-assn.org)
​2023
​No date
​AMA
​Oct-2023
​No date
CMS
​Sep-2023
​Sep-2023
​CMS
COVID-19 CPT vaccine and immunization codes
​Oct-2023
​No date
AMA​
​Payer
How Do Payers Cover COVID-19 Vaccines, Treatments, and Tests Post-PHE?
​Feb-2024
​No date
​HealthPayerIntelligence
Vaccine Pricing
​Jan-2024
​No date
​CMS
COVID-19 oral antiviral commercialization | UHCprovider.com
Dec-2023​​No date
Payer​
Medicare Covid 19 Vaccine Shot Payment CMS​May-2022 No date CMS
CMS COVID-19 Monoclonal AntibodiesFeb-2022 No date CMS
COVID FFS Inclusive FAQsFeb-2022 No date  CMS
JHHC COVID-19 Reimbursement Policy Update​Jan-2022 No date Payer
UHC COVID-19 Provider Billing GuidanceJan-2020 No date UHC
Cigna COVID PHE Extends NoneJan-2022 Cigna
CMS MM12578 Medicare Severity - COVID Diagnosis Related Group​Apr-2022 No date CMS
COVID Vaccine Changes for Medicare Advantage PlansJan-2022 No date CMS
CMS COVID-19 New Codes for Moderna Vaccine Booster Doses​​Apr-2022 No date  CMS
CMS Monoclonal Antibody Coverage Infographic​​ None No date CMS
CMS COVID 19 New HCPT Codes for Remdesivir MLN Jan 7 2022​Jan-2022 No date CMS
Aetna Better Health COVID Notice & Newsletter None No date Aetna
UHC COVID-19 News - Testing and Treatment CoverageJan-2022 No date UHC
UHC COVID-19 Date Provision GuideJan-2022No date
UHC

​Feb-2023
No date​​UHC

Coverage After COVID-19 ends
2023​No date​CMS​

​Feb-2023
No date​CMS​
Medicare Telehealth Orginatination Site Facility Fee, Q3​014

Feb-2023​
No date​​CMS




​Feb-2023

No date​

United Healthcare
Category I Vaccine Codes 
Mar-2023​​No date
AMA​
Updated COVID-19 CPT Codes
Mar-2023​
No date​AMA​
Telehealth policy changes after the COVID-19 public health emergency 
Feb-2023​​No date
HHS
​​
"CPT® Category I New SARS-CoV-2 Vaccine Codes Long 
Descriptors"


Mar-2023​

No date​

AMA​
CPT Assistant guide: COVID-19
Mar-2023​
​No date
​AMA
COVID-19 CPT vaccine and immunization codes
Mar-2023​​No date
AMA​
UnitedHealthcare COVID-19 Provider Billing Guidance as of April 3, 2023 
​Apr-2023
No date​Payer​


​May 2023

Nov 2023

Kaiser
Cigna CHCP - Resources - Cigna's response to COVID-19
​Aug-2023
​No date
CIGNA​
CMS COVID-19 Updated mRNA Vaccines for Patients 6 months and Older 2023-09-14-OCE | CMS
​Sep-2023
​No date
​CMS



Sep-2023​

No date

Payer​


No date

No date​

​Payer
Public Health Emergency
End of the Federal COVID-19 PHE Declaration
May 2023​​No date
​PHE
HHS Renewal of Determination of PHEApr-2022No date
PHE
Public Health Emergency Declaration FAQsNoneNo date
PHE
Fact Sheet: COVID-19 Public Health Emergency Transition Roadmap

​Feb-2023
​No date
HHS​


Jan-2023

No date​

CMS​
PHE Fact Sheet
Feb-2023​​No date
​HHS
MD Medicaid COVID-19 Participant Updates
Apr-2023​
No date​PHE​
​Telehealth After the PHE​
May-2023​No date​CDC​
Fact Sheet: End of the COVID-19 PHE
​May-2023
​No date
HHS​
COVID-19 Provider Resources
No date​​No date
​MDH
COVID-19 Point of Care Reporting Tool
Aug-2020​​No date
MEDCHI​
​Is Your Practice Enrolled with ImmuNet
May-2023​No date​​MEDCHI
COVID-19 CPT vaccine and Immunization codes
​May-2023
No date​AMA​


​May- 2023

​No date

​CMS​




​May-2023

​No date

MGMA​




​Aug-2023

​No date

​AMA




Aug-2023

No date​

AMA​


May-2023


No date


MGMA




Apr-2023​

​No date

MGMA​