Nov. 3, 2021

BlueCross BlueShield of South Carolina and BlueChoice^® HealthPlan continue to monitor the COVID-19 virus to ensure our provider community remain aware of any changes that may occur. Currently, both plans cover the administration of the COVID-19 vaccine at no cost share to members 12 years of age and above.

On Oct. 29, 2021, the vaccine was approved for children 5 through 11 years of age.  The CPT code set has been updated with the following new codes for the vaccine product (Pfizer) and vaccine administration.  As a reminder, the vaccine itself is covered by the government and should not be submitted for payment.

Vaccine Code

91307 – Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, preservative free, 10 mcg/0.2 mL dosage, diluent reconstituted, tris-sucrose formulation, for intramuscular use

Vaccine Administration Codes

0071A – 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, 10 mcg/0.2 mL dosage, diluent reconstituted, tris-sucrose formulation; first dose

0072A – 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, 10 mcg/0.2 mL dosage, diluent reconstituted, tris-sucrose formulation; second dose

If you have any questions about this bulletin, please contact Provider Education at Provider.Education@bcbssc.com or reach out to your Provider Education Representative for further assistance.