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COVID-19 payment policy updates
November 2, 2023

This article is for all providers caring for our members

We recently updated our COVID-19 temporary payment policy with the following changes:

  • Added new vaccine administrative code 90480.
  • Added new vaccine codes 91318-91322.
  • Indicated that vaccine code 91304 will be reimbursed by Blue Cross effective October 3, 2023 since it is no longer supplied for free from the state.
  • Indicated deleted vaccine codes and vaccine administrative codes as of November 1, 2023. 
Code Description Reimbursed by Blue Cross effective date

90480

Vaccine Administration SARSCOV2 VACC 1 DOSE

September 11, 2023

91318

Pfizer-BioNTech COVID-19 Vaccine 2023-2024 Formula (Yellow Cap)

September 11, 2023

91319

Pfizer-BioNTech COVID-19 Vaccine 2023-2024 Formula (Blue Cap)

September 11, 2023

91320

Pfizer-BioNTech COVID-19 COMIRNATY (COVID-19 Vaccine, mRNA) 2023-2024 Formula

September 11, 2023

91321

Moderna COVID-19 Vaccine 2023-2024 Formula

September 11, 2023

91322

Moderna COVID-19 SPIKEVAX 2023-2024 Formula

September 11, 2023

91304

Novavax Covid-19 Vaccine, Adjuvanted (Aged 12 years and older)

October 3, 2023

Please see our COVID-19 temporary payment policy and applicable temporary COVID-19 fee schedules for additional information.

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