COVID-19 Vaccine, Monoclonal Antibodies and Administration - JE Part A
COVID-19 Vaccine, Monoclonal Antibodies and Administration
HCPCS/CPT Codes
CMS has started the process of closing out the effective dates for certain COVID vaccines and monoclonal antibodies. Please see CMS COVID-19 Vaccines and Monoclonal Antibodies page for the most up-to-date list of these codes, including their effective date periods.
Coverage
- All Medicare beneficiaries
- Original Medicare no longer pays COVID-19 vaccine or monoclonal antibody product administration claims for Medicare Advantage beneficiaries on or after January 1, 2022, unless the beneficiary in a Medicare Advantage plan has chosen to enroll in hospice.
Payment
Copayment/coinsurance waived; Deductible waived
Pricing
For payment rates for COVID-19 vaccine administration, visit the COVID-19 Vaccine and Monoclonal Antibodies Pricing webpage on CMS.
Resources
- CDC COVID-19 Vaccination Communication Toolkit for medical centers, clinics, and clinicians
- CMS COVID-19 End of Public Health Emergency FAQs
- CMS COVID-19 FAQs
- CMS COVID-19 Provider Toolkit
- CMS Monoclonal Antibody COVID-19 Infusion
- CMS Office of Minority Health COVID-19 Resources on Vulnerable Populations
- CMS Vaccine Pricing
- Healthcare System Cybersecurity: Readiness & Response Considerations
- PC-ACE Software
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