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Transmittal 21-37 Professional Services Billing Codes and Reimbursement Rates for COVID-19 Vaccines – Addition of Third Doses for Pfizer and Moderna Vaccines for Immunocompromised People


Wednesday, September 8, 2021

This transmittal provides notice of coverage and reimbursement for fee-for-service providers that bill HCPCS and CPT codes on CMS-1500 claim forms for COVID-19 vaccine administration in the professional fee schedule, and for providers enrolled in Medicaid Managed Care Organization (MCO) networks.

This transmittal amends guidance provided in Transmittal # 21-26: Professional Services Billing Codes and Reimbursement Rates for COVID-19 Vaccine issued June 30, 2021, to add the codes and rates for the third doses of the Pfizer and Moderna vaccines.