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Payment for Administering Additional Doses of mRNA Vaccines

With the FDA having issued an emergency use authorization (EUA) for certain people to receive an additional COVID-19 vaccine dose, Blue Cross Blue Shield of North Dakota (BCBSND) will cover the additional dose. The EUA applies to fully vaccinated individuals who are immunocompromised because they have received a solid-organ transplant or have been diagnosed with a condition that is deemed to carry the same level of immunocompromise. Such individuals may receive a third dose of either the Pfizer or the Moderna vaccine, according to the FDA (the EUA does not cover individuals who initially received the Johnson & Johnson vaccine at this time).

BCBSND advises providers to use administration CPT code 0003A for the third Pfizer dose and CPT code 0013A for the third Moderna dose. For all COVID-19 Billing and Coding Guidelines visit our Provider webpage.