COVID-19 Pfizer-BioNTech Vaccine Administration Procedure Codes 0001A and 0002A Are Now Benefits
Effective December 11, 2020, in accordance with the Food and Drug Administration’s issuance of Emergency Use Authorization for the Pfizer-BioNTech COVID-19 Vaccine, vaccine administration procedure codes 0001A and 0002A are benefits for Medicaid, Healthy Texas Women, Family Planning Program, and the Children with Special Health Care Needs Services Program for individuals who are 16 years of age and older. Vaccine procedure code 91300 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.
Procedure codes 0001A and 0002A are benefits for the following providers and places of service:
|Places of Service||Provider Types|
|Office||Physician 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 Hospital||Nephrology (Hemodialysis, Renal Dialysis), Hospital Providers, Renal Dialysis Facility|
|Home||Physician Assistant, Nurse Practitioner, Clinical Nurse Specialist, Physician, Physician Groups, CCP Provider, Clinic/Group Practice|
|Other Locations||Physician 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**