COVID-19 Moderna Vaccine Administration Procedure Codes 0011A and 0012A Are Now Benefits

On December 18, 2020, in accordance with the FDA’s issuance of Emergency Use Authorization for the Moderna COVID-19 Vaccine, vaccine administration procedure codes 0011A and 0012A are benefits for Texas Medicaid for individuals 18 years of age and older. Vaccine procedure code 91301 is informational only while the vaccine is distributed to providers free of charge.

Providers interested in becoming a COVID‑19 vaccine provider must register through EnrollTexasIZ.dshs.texas.gov. Enrolled providers registered through this site can receive and administer COVID‑19 vaccine in Texas.

Providers should reference the table below when submitting claims for vaccine administration:

Procedure codes 0011A and 0012A are benefits for the following providers and places of service:

Places of ServiceProvider Types
OfficePhysician Assistant, Nurse Practitioner, Clinical Nurse Specialist, Physician, Physician Groups, Certified Nurse Midwife, Pharmacist, CCP Provider, Nephrology (Hemodialysis, Renal Dialysis), Pharmacy, Clinic/Group Practice, Licensed Midwife, Registered Nurse, County Indigent Health Care Program
Outpatient HospitalNephrology (Hemodialysis, Renal Dialysis), Hospital Providers, Renal Dialysis Facility
HomePhysician Assistant, Nurse Practitioner, Clinical Nurse Specialist, Physician, Physician Groups, CCP Provider, Clinic/Group Practice
Other LocationsPhysician Assistant, Nurse Practitioner, Clinical Nurse Specialist, Physician, Physician Groups, CCP Provider, Clinic/Group Practice, County Indigent Health Care Program

Providers should reference the table below when submitting claims for the COVID-19 vaccine and vaccine administration:

Providers should bill CPT 91301 with a charge of $0.01 as this code is informational.  The Vaccines will Pay as follows: **Rate subject to change based on TMHP notice**