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COVID-19 Related Codes (UB-04 Billing)

Blue Cross and Blue Shield of Kansas (BCBSKS) continues to monitor COVID-19 and the changes with billing new codes. The following new codes will be reimbursed as follows:

 

HCPCS Code

Nomenclature

MAP'd like:

Effective Date

0081A

Pfizer-BioNTech Covid-19 Pediatric Vaccine (Aged 6 months through 4 years) (Maroon Cap) Administration - First dose

0013A

10/21/22

0082A

Pfizer-BioNTech Covid-19 Pediatric Vaccine (Aged 6 months through 4 years) (Maroon Cap) Administration - Second dose

0013A

10/21/22

0083A

Pfizer-BioNTech Covid-19 Pediatric Vaccine (Aged 6 months through 4 years) (Maroon Cap) Administration - Third dose

0013A

10/21/22

0091A

Moderna Covid-19 Pediatric Vaccine (Aged 6 years through 11 years) (Blue Cap with purple border) Administration - First dose

0013A

10/21/22

0093A

Moderna Covid-19 Pediatric Vaccine (Aged 6 years through 11 years) (Blue Cap with purple border) Administration - Third dose

0013A

10/21/22

0094A

Moderna Covid-19 Vaccine (Aged 18 years and older) (Blue Cap with purple border) 50MCG/0.5ML Administration - Booster

0013A

10/21/22

0111A

Moderna Covid-19 Pediatric Vaccine (Aged 6 months through 5 years) (Blue Cap with magenta border) Administration - First dose

0013A

10/21/22

0112A

Moderna Covid-19 Pediatric Vaccine (Aged 6 months through 5 years) (Blue Cap with magenta border) Administration - Second dose

0013A

10/21/22

0113A

Moderna Covid-19 Pediatric Vaccine (Aged 6 months through 5 years) (Blue Cap with magenta border) Administration - Third dose

0013A

10/21/22

91308

Pfizer-BioNTech Covid-19 Pediatric Vaccine (Aged 6 months through 4 years) (Maroon Cap)

91306

10/21/22

91309

Moderna Covid-19 Vaccine (Aged 6 years through 11 years or aged 18 years and older) (Blue Cap with purple border) 50MCG/0.5ML

91306

10/21/22

91310

Sanofi Pasteur's COVID-19 vaccine product for adult patients aged 18 years and older. This vaccine uses a 5 mcg/0.5 mL dosage.

91306

10/21/22

91311

Moderna Covid-19 Pediatric Vaccine (Aged 6 months through 5 years) (Blue Cap with magenta border) 250MCG/0.25ML

91306

10/21/22

91312

Pfizer-BioNTech COVID-19 Vaccine, Bivalent Product (Aged 12 years and older) (Gray Cap)

91306

10/21/22

91313

Moderna bivalent booster for individuals 18 years and older. 50 mcg/0.5 mL dosage, for intramuscular use.

91306

10/21/22

91314

Moderna COVID-19 booster for individuals 6 years through 11 years of age.

91306

10/21/22

91315

Pfizer-BioTech's COVID-19 booster in individuals 5 years through 11 years of age.

91306

10/21/22

 

If you have any questions regarding this newsletter, please contact your BCBSKS Institutional Relations provider consultant.