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Providers in AR, CO, LA, MS, NM, OK, TX, Indian Health & Veteran Affairs

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Provider specialty: COVID-19 vaccine, monoclonal antibodies, and treatments

This is a central location for all COVID-19 vaccine billing, monoclonal antibody infusion, and treatment information, including links to related CMS resources and references.

These services include information on the COVID-19 vaccine, monoclonal antibodies, treatments, and their administration.

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Billing and coding

Billing COVID-19 convalescent plasma in outpatient setting

Billing for COVID-19 vaccine home administration

Billing VEKLURY (remdesivir) antiviral medication in outpatient settings

CMS Waivers Flexibilities and End of the COVID-19 Public Health Emergency

Coding for COVID-19 vaccine shots

COVID-19 Frequently Asked Questions (FAQs) on Medicare Fee-for-Service (FFS) billing

COVID-19 vaccine and monoclonal antibodies billing for Part A

COVID-19 vaccine and monoclonal antibodies billing for Part B

COVID-19 vaccine and monoclonal antibody (mAb) infusion FAQs

COVID-19 vaccine and monoclonal antibody (mAb) infusion billing alerts

COVID-19 provider toolkit

Enforcement Discretion Notice Relating to Certain Pharmacy Billing

Indian Health Services COVID-19 vaccine and monoclonal antibody (mAb) infusion administration

Medicare Enrolled Ambulance Suppliers Administering the COVID-19 Vaccine

Monoclonal antibody COVID-19 infusion

Medicare billing for COVID-19 vaccine shot administration

SNF: Enforcement discretion relating to certain pharmacy billing

Mass immunizers and roster billers

PC-ACE user guide: Section 5 flu, pneumonia, or COVID-19 injection roster billing

Centralized billing for vaccines

COVID-19 vaccines or monoclonal antibody infusion roster form

EDI centralized mass immunizer packet

Roster billing for Part A providers

Roster billing for Part B providers

Roster billing for mass immunizers

Reimbursement

CMS Vaccine pricing - COVID-19 vaccines and monoclonal antibodies

COVID-19 vaccines:

COVID-19 vaccine reimbursement 2022 | 2023

COVID-19 vaccine administration fees for centralized billers, Indian Health Services, and Veterans Affairs 2022 | 2023

Jan-Dec 2023 Geographically-adjusted payment rates for COVID-19 vaccine administration (for providers & suppliers paid MPFS-adjusted rates) (ZIP) (For claims with dates of service 09/11/2023 through 12/31/2023] *Updated 09/14/2023 to:

Reflect the new CPT code 90480 that describes the service to administer COVID-19 vaccines (effective 9/11/2023)

Remove codes describing the service to administer COVID-19 vaccines that are no longer authorized in the U.S. for Pfizer-BioNTech and Moderna COVID-19 vaccine, bivalent (effective 9/12/2023)

Jan - Dec 2022 Geographically-adjusted Payment Rates for COVID-19 Vaccine Administration (for Providers & Suppliers Paid MPFS-Adjusted Rates) (ZIP) *Updated 12/20/2022 to reflect the new codes for Moderna and Pfizer-BioNTech pediatric bivalent (updated COVID-19 vaccines) booster dose/ third dose [For claims with dates of service 12/08/2022 through 12/31/2022]

Monoclonal antibodies:

COVID-19 monoclonal antibodies reimbursement 2022 | 2023

COVID-19 monoclonal antibodies administration (mAb) for centralized billers, Indian Health Services, and Veterans Affairs 2022 | 2023

Jan - Dec 2023 Geographically-adjusted Payment Rates for Monoclonal Antibody Administration [For claims with dates of service 01/01/2023 through 12/31/2023]

Jan - Dec 2022 geographically-adjusted payment rates for monoclonal antibody administration (for providers & suppliers paid MPFS-adjusted rates) (ZIP) *Updated 02/17/2022 to reflect the new codes for bebtelovimab (For claims with dates of service 02/11/2022 through 12/31/2022)