TO: Hospital Providers, Physicians, Nurse
Practitioners, Physician Assistants, Federally Qualified Health Centers, Rural
Health Clinics, Dentists, and County Health Departments
RE: Information on Billing for
Administration of COVID-19 Vaccines (for Non- Pharmacy Providers)
Effective
October 29, 2021, the Alabama Medicaid Agency covers the following procedure
codes for the administration of the Pfizer vaccine for ages 5 to 11:
Administration CPT CODE
|
Description of Code
|
Rate
|
0071A
|
Administration SARSCV2
10mCG TRS-SUCR – first dose
|
$40
|
0072A
|
Administration SARSCV2
10MCG TRS-SUCR – second dose
|
$40
|
Medicaid
enrolled providers should not bill for the vaccine if using federally allocated
vaccines.
To
participate in the administration of COVID-19 vaccine, Alabama providers must
enroll in the Alabama Department of Public Health (ADPH) ImmPRINT COVID-19
Vaccination Program. Follow the steps in the ImmPRINT Registration
Roadmap to enroll.
Providers must follow state
and federal laws and regulations regarding administration of vaccines. State
and federal standing order guidelines for products granted Emergency Use
Authorization (EUA) must be followed.
For questions, please visit the Medicaid website at www.Medicaid.Alabama.gov, or call
the Medicaid Fiscal Agent at 1-800-688-7989.
The Current Procedural Terminology (CPT) and Current Dental Terminology
(CDT) codes descriptors, and other data are copyright © 2022
American Medical Association and © 2022 American Dental Association (or such other date publication of CPT and
CDT). All rights reserved. Applicable FARS/DFARS apply.