Keyword Analysis & Research: what is cpt 0064a

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Frequently Asked Questions

What does code 0094a and code 91309 mean?

Code 0094A represents the administration and 91309 represents the vaccine product. “As with previous COVID-19 vaccine administration codes, counseling is included as part of the administration visit and should not be reported separately,” states AMA’s 2022 CPT® Assistant Special Edition: March Update.

What does 0094a stand for?

0094A Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, preservative free, 50 mcg/0.5 mL dosage, booster dose, when administered to individuals 18 years and over [descriptor revision effective July 6, 2022]

How much does Medicare pay for 0094a?

Medicare posted a national payment allowance of $0.01 for 91309, noting they “anticipate that providers, initially, will not incur a cost for the product.” For 0094A, the allowance is $40. Deborah Marsh, JD, MA, CPC, CHONC, has explored the ins and outs of multiple specialties, particularly radiology, cardiology, and oncology.

What are the attachments for the Medicare claims processing manual?

ATTACHMENTS: 1 Medicare Claims Processing Manual Chapter 4 - Part B Hospital (Including Inpatient Hospital Part B and OPPS) Table of Contents (Rev. 11150; Issued: 12-10-21) Transmittals for Chapter 4 60.4.1 - Explanations of Terms 60.4.2 - Complete List of Device Pass-through Category Codes 60.4.3.


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