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COVID-19 Vaccine Administration Procedure Codes 0001A and 0002A Are Now Benefits

Last updated on 12/14/2020

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.

Procedure codes 0001A and 0002A are benefits for the following providers and places of service:

Medicaid and HTW Places of Service

Provider Type

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

 

CSHCN Place of Service

Provider Type

Office

Physician Assistant, Nurse Practitioner, Clinical Nurse Specialist, Physician, Physician Groups, Pharmacist, CCP Provider, Nephrology (Hemodialysis, Renal Dialysis), Pharmacy

Outpatient Hospital

Nephrology (Hemodialysis, Renal Dialysis), Hospital Providers, Renal Dialysis Facility

Home

Physician Assistant, Nurse Practitioner, Clinical Nurse Specialist, Physician, Physician Groups, CCP Provider

Other Locations

Physician Assistant, Nurse Practitioner, Clinical Nurse Specialist, Physician, Physician Groups, CCP Provider

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

Vaccine Code

Vaccine Administration Codes

Labeler Name

Administration Interval

91300

0001A (first dose)

Pfizer

21 days

0002A (second dose)

Providers interested in enrolling as a COVID-19 vaccinator should visit www.dshs.texas.gov/coronavirus/immunize/provider-information.aspx for more information.

more information, call the TMHP Contact Center at 800-925-9126.