Vaccine administration

Health care benefit programs issued or administered by Capital BlueCross and/or its subsidiaries, Capital Advantage Insurance Company^®, Capital Advantage Assurance Company^® and Keystone Health Plan^® Central. Independent licensees of the BlueCross BlueShield Association serving 21 counties in Central Pennsylvania and the Lehigh Valley. Communications issued by Capital BlueCross in its capacity as administrator of programs and provider relations for all companies.

Guidelines and codes for COVID-19 vaccine administration

What codes should we use to bill vaccine administration for COVID-19?

The American Medical Association (AMA) issued new and revised codes for the COVID-19 vaccines approved for the upcoming cold and flu season. Only one new administration code was issued for use with any COVID-19 vaccine going forward. Providers should discontinue use of previously issued administration codes.

Providers should resume billing COVID-19 vaccines in the same manner as other vaccines. The vaccine and administration procedure code should be submitted on one claim. If administering a COVID-19 vaccine that was supplied for free from the government, providers are reminded to append modifier “SL” to the vaccine procedure code only, to indicate a state supplied vaccine. A zero-dollar charge should be applied for any vaccines supplied to the provider for free. As a reminder, services, medications and/or supplies available at no cost to providers are not eligible for reimbursement.