© Copyright 2025 American Medical Association. All rights reserved.
The CPT® Code 91314 refers to a specific vaccine designed to provide immunity against the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which is responsible for the disease known as coronavirus disease (COVID-19). This vaccine utilizes a bivalent formulation, meaning it contains messenger RNA (mRNA) components that correspond to both the original strain of the virus and a variant associated with the omicron lineage, specifically targeting the BA.4 and BA.5 subvariants. The vaccine is preservative-free and is administered in a dosage of 25 mcg per 0.25 mL via intramuscular injection. The mRNA is encapsulated in lipid nanoparticles (LNP), which facilitate the delivery of the genetic material into the body's cells. Once inside, the cells utilize the mRNA as a template to produce the spike protein found on the surface of the coronavirus. This process triggers an immune response, prompting the body to generate antibodies that can recognize and combat the virus if encountered in the future. The administration of this vaccine is particularly aimed at individuals aged 6 through 11 years who have previously received COVID-19 vaccinations, serving as a booster to enhance their immune protection against the virus. It is important to note that while this code reports the supply of the vaccine, the actual injection procedure is documented separately using the appropriate administration code.
© Copyright 2025 Coding Ahead. All rights reserved.
The CPT® Code 91314 is indicated for the vaccination against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), specifically for individuals who are at risk of contracting coronavirus disease (COVID-19). The vaccine is particularly recommended for:
The administration of the COVID-19 vaccine coded under CPT® 91314 involves several key procedural steps that ensure the vaccine is delivered effectively and safely. The following steps outline the procedure:
Following the administration of the COVID-19 vaccine, patients may experience mild side effects, which are common and typically resolve within a few days. These may include soreness at the injection site, fatigue, headache, muscle pain, chills, fever, or nausea. Patients should be advised to rest and hydrate adequately. It is also important to inform them about the signs of any severe allergic reactions, such as difficulty breathing or swelling of the face and throat, and to seek immediate medical attention if these occur. Additionally, patients should be encouraged to keep their vaccination records updated and to follow any recommended guidelines for subsequent doses or boosters as advised by healthcare professionals.
Short Descr | SARSCOV2 VAC BVL 25MCG/.25ML | Medium Descr | SARSCOV2 VACCINE BIVALENT 25 MCG/0.25 ML IM USE | Long Descr | Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, bivalent, preservative free, 25 mcg/0.25 mL dosage, for intramuscular use | Status Code | Statutory Exclusion (from MPFS, may be paid under other methodologies) | 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 | Influenza, Pneumococcal Pneumonia, Hepatitis B, and Covid-19 Vaccines; Monoclonal Antibody Therapy Product | Berenson-Eggers TOS (BETOS) | none | MUE | Not applicable/unspecified. |
SL | State supplied vaccine |
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2025-01-01 | Deleted | First appearance of code deletion in codebook. |
2024-01-01 | Added | First appearance in codebook. |
2023-11-01 | Deleted | Code deleted. See 91318, 91319, 91320, 91321, 91322. |
2023-04-18 | Note | Changes made to patient age and dosing information |
2022-12-08 | Note | AMA Guideline changed. 0164A received FDA approval. |
2022-11-16 | Note | AMA guideline changed to include 0164A effective upon receiving Emergency Use Authorization or approval from the FDA |
2022-10-12 | Added | Received FDA approval. |
2022-10-12 | Note | AMA Guideline changed. 0134A (12–17 yrs) & 0144A received FDA approval. |
2022-08-31 | Added | Published on AMA website. Effective upon receiving EUA or approval from FDA. |
2022-08-31 | Note | AMA guideline codes 0134A (18 yrs & older) published to website. Received FDA approval effective immediately. |
2022-08-31 | Note | AMA guideline codes 0144A published to website. Effective upon receiving emergency Use Authorization or approval from the FDA. |
2022-08-31 | Note | AMA guideline added. Codes 0011A, 0012A, 0013A, 0064A, 0091A, 0092A, 0093A, 0094A, 0111A, 0112A, 0113A published to website & received FDA approval prior to the addition of 91314. |
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