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| Short Descr | ADM SARSCOV2 100MCG/0.5ML 3RD | Medium Descr | IMM ADMN SARSCOV2 100 MCG/0.5 ML 3RD DOSE | Long Descr | 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, 100 mcg/0.5 mL dosage; third dose | Status Code | Not Valid for Medicare Purposes | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 9 - Not Applicable | Multiple Procedures (51) | 9 - Concept does not apply. | Bilateral Surgery (50) | 9 - Concept does not apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 9 - Concept does not apply. | Co-Surgeons (62) | 9 - Concept does not apply. | Team Surgery (66) | 9 - Concept does not apply. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Non-Covered Service, not paid under OPPS | Berenson-Eggers TOS (BETOS) | none | MUE | Not applicable/unspecified. |
| 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. |
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Date
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Action
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Notes
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| 2025-01-01 | Deleted | First appearance of code deletion in codebook. |
| 2024-01-01 | Note | First appearance of October & December 2022 guideline changes in codebook. |
| 2023-11-01 | Deleted | Code deleted. To report administration of COVID-19 vaccine, use 90480. |
| 2023-04-18 | Note | Changes made to dosing information |
| 2023-04-18 | Note | These codes (included in the guidelines) are no longer authorized for use in the United States: 0011A, 0012A, 91301, 91306 91309, 91311. |
| 2023-04-18 | Note | No longer authorized for use in the United States. |
| 2023-01-01 | Added | First appearance in codebook. |
| 2022-12-08 | Note | CPT codebook guideline(s) changed. 91316 received FDA approval. |
| 2022-11-16 | Note | CPT codebook guideline(s) changed to include 91316 effective upon receiving Emergency Use Authorization or approval from the FDA |
| 2022-10-12 | Note | CPT codebook guideline(s) changed. 91313 (ages 12-17) and 91314 received FDA approval. |
| 2022-08-31 | Note | CPT codebook guideline(s) changed. to include 91313, 91314 effective upon receiving emergency Use Authorization or approval from the FDA. |
| 2022-08-31 | Note | CPT codebook guideline(s) changed. 91313 (18 years and older) received FDA approval effective immediately. |
| 2022-08-31 | Note | Changes made to vaccine name, product & dosing information, & patient age to (12+). |
| 2022-06-17 | Note | CPT codebook guideline(s) changed. 91311 received approval. |
| 2022-05-19 | Note | CPT codebook guideline(s) changed to include 91311 effective upon receiving Emergency Use Authorization or approval from the FDA. |
| 2022-03-29 | Note | CPT codebook guideline(s) changed. 91309 received approval. |
| 2022-03-07 | Note | CPT codebook guideline(s) changed to include 91309 effective upon receiving Emergency Use Authorization or approval from the FDA. |
| 2021-10-20 | Note | CPT codebook guideline(s) changed. 91306 received approval. |
| 2021-09-03 | Note | CPT codebook guideline(s) changed to include 91306 effective upon receiving Emergency Use Authorization or approval from the FDA |
| 2021-08-16 | Note | CPT codebook guideline(s) changed. Codes 91301, 0011A, 0012A: Published on website & received FDA approval prior to the addition of 0074A |
| 2021-08-12 | Added | Code published on 2021-08-16. FDA approval received. Effective retroactively to 2021-08-12. |
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