Is there a new code for administration of the Pfizer vaccine booster dose?
Yes. On September 15, 2021, in a Special Edition of the CPT Assistant (linked below), the AMA announced the addition of new codes related to COVID-19 vaccines and their related administration code(s). Code 0004A was created to describe administration of a booster dose of the Pfizer vaccine product code 91300.
On September 28, 2021, CMS announced that the effective date for code 0004A will be retroactively set to September 22, 2021. A link to that information is also provided.
The long descriptor for 0004A is:
- 0004A: Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) (coronavirus disease [COVID-19]) vaccine, mRNALNP, spike protein, preservative free, 30 mcg/0.3 mL dosage, diluent reconstituted; booster dose
We are also providing a link to the CDC guidance on who is eligible for a COVID -19 vaccine booster shot.
Resources:
https://www.ama-assn.org/system/files/cpt-assistant-guide-coronavirus-september-2021.pdf