COVID-19 Vaccine and Administration Billing

Blue Cross Blue Shield of North Dakota (BCBSND) is providing updated guidance on billing and coding for the COVID vaccine and administration based off provider feedback and observation of improper billing and coding for these services. Effective January 22, 2021, claims will reject back to the provider if any of the following occur:

  • COVID vaccine is submitted with a charge greater than $0.00.
    • Note: For provider’s who EDI system will not allow a $0.00 balance, a $0.01 will be allowed, but will not be reimbursed.
  • COVID vaccine is submitted without the SL modifier.
  • Incorrect COVID administration code is submitted.

Claims submitted incorrectly will need to be voided and resubmitted as a new claim.

Refer to the COVID Billing and Coding Guidelines and Modifier SL- State Supplied Vaccinations reimbursement policy for additional guidance.