AMA announces CPT update to COVID-19 vaccine booster

Nov. 1, 2021

The American Medical Association (AMA) has announced that the Current Procedural Terminology (CPT) code set has been updated by the CPT Editorial Panel to include a new code for booster doses of COVID-19 vaccine created by Janssen Pharmaceutical Companies of Johnson & Johnson.

The new CPT code for the booster dose of the Janssen COVID-19 vaccine joins unique CPT codes previously issued to COVID-19 vaccine booster doses from Moderna and Pfizer, according to an AMA press release. The CPT codes for reporting COVID-19 vaccine boosters from Janssen and Moderna are effective for use as of Oct. 20. The CPT codes for the Pfizer boosters were made effective on Sept. 22. As with all the CPT codes related to COVID-19 vaccines, the effective dates coincide with the emergency use authorization issued by U.S. Food and Drug Administration (FDA).

The mix and match option authorized COVID-19 vaccines and boosters provides needed flexibility for efficient and effective vaccination programs. The CPT code set is prepared to support this strategy with product-specific CPT codes that clinically distinguished each coronavirus vaccine and booster to facilitate tracking, reporting and analysis that is needed for data-driven planning and allocation as booster programs ramp up.

For quick reference, the new code assigned to the Janssen booster for the COVID-19 vaccine is:

0034A   Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, DNA, spike protein, adenovirus type 26 (Ad26) vector, preservative free, 5x1010 viral particles/0.5 mL dosage; booster dose

Short, medium and long descriptors for all the new vaccine-specific CPT codes can be accessed on the AMA website, along with other recent modifications to the CPT code set that have helped streamline the public health response to the SARS-CoV-2 virus and the COVID-19 disease.

To help ensure accurate coding and reporting of COVID-19 vaccines and immunization services, the AMA offers a vaccine code finder resource to help identify the appropriate CPT code combination for the type and dose of COVID-19 vaccine provided to each patient.

AMA press release

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