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 # 22-06 (rev.): Professional Services Billing Codes and Reimbursement Rates for COVID-19 Vaccines – Addition of New Vaccines issued on May 9, 2022. This update reflects codes and rates for new vaccines and/or boosters by Novavax for the adult population and Pfizer and Moderna for the pediatric population.