COVID-19 Vaccines Payment Allowance Updates

As vaccines become more and more available, CMS has released a payment allowance and effective dates cheat sheet to assist providers, states and insurers prepare to administer COVID-19 vaccines swiftly. Below is a quick overview of the CMS cheat sheet.

CPT Code – 91300

  • Payment Allowance $0.010 (previously $0.010)
  • Effective Dates 12/11/2020 – TBD

CPT Code – 0001A

  • Payment Allowance $40.000 (previously $16.940)
  • Effective Dates 12/11/2020 – TBD

CPT Code – 0002A

  • Payment Allowance $40.000 (previously $28.390)
  • Effective Dates 12/11/2020 – TBD

CPT Code – 91301

  • Payment Allowance $0.010 (previously $0.010)
  • Effective Dates 12/18/2020 – TBD

CPT Code – 0011A

  • Payment Allowance $40.000 (previously $16.940)
  • Effective Dates 12/18/2020 – TBD

CPT Code – 0012A

  • Payment Allowance $40.000 (previously $28.390)
  • Effective Dates 12/18/2020 – TBD

CPT Code – 91302

  • Payment Allowance $0.010 (previously $0.010)
  • Effective Dates – TBD

CPT Code – 0021A

  • Payment Allowance $40.000 (previously $16.940)
  • Effective Dates – TBD

CPT Code – 0022A

  • Payment Allowance $40.000 (previously $28.390)
  • Effective Dates – TBD

CPT Code – 91303

  • Payment Allowance $0.010 (previously $0.010)
  • Effective Dates 02/27/2020 – TBD

CPT Code – 0031A

  • Payment Allowance $40.000 (previously $28.390)
  • Effective Dates 02/27/2020 – TBD

For a full breakdown provided by CMS please visit cms.gov page here: https://www.cms.gov/medicare/medicare-part-b-drug-average-sales-price/covid-19-vaccines-and-monoclonal-antibodies

 

Sources: CMS

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