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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