Update Overview – January 28th, 2021
Over the last several weeks, the Federal Drug Administration (FDA) has approved, or is in the process of approving,
Emergency Use Authorization (EUA) to Pfizer, Moderna, Eli Lilly and Regeneron Pharmaceuticals for their COVID-19
Vaccines or Infusion Treatment. The United States government, through Operation Warp Speed, has been working
since the onset of the pandemic to make one or more COVID-19 vaccines and infusions available as soon as possible.
Additional information can be found in the COVID-19 Vaccination Program Interim Playbook for Jurisdiction
Operations published by the Centers for Disease Control and Prevention (CDC) in October here: https://www.cdc.gov/
vaccines/imz-managers/downloads/COVID-19-Vaccination-Program-Interim_Playbook.pdf
Initially, a limited supply of COVID-19 vaccines have been distributed to healthcare organizations. Vaccination efforts
will focus on those critical to the response. Those include first responders and frontline healthcare workers providing
direct care, as well as those at the highest risk for developing severe illness from COVID-19.
Examples:
Phase 1a Distribution:
- Healthcare personnel (paid and unpaid persons serving in healthcare setting who have the potential
for direct or indirect exposure to patients or infections materials)
- Residents living in Long Term Care Facilities
Phase 1b Distribution:
- Non-healthcare essential workers (Law Enforcement, EMT/Paramedic)
- Adults 75 years and older
Phase 1c Distribution:
- Adults with high-risk medical conditions who possess risk factors for severe COVID-19 illness
- Other essential workers
To review the CDC published recommendation on vaccine distribution, click HERE.
CMS has published Vaccination Provider Guidance to include a toolkit, enrollment and billing information,
and more. Click HERE to review.
Our Reports and Recommendations:
These materials are for general informational purposes only. These materials do not, and are not intended to, constitute
legal or compliance advice, and you should not act or refrain from acting based on any information provided
in these materials. Please consult with your own legal counsel or compliance professional regards specific legal or
compliance questions you have.
Download the Full Report – AbacusOne COVID-19 Vaccine Treatment
References
- Medicare Monoclonal Antibody COVID-19 Infusion Program Instruction
- Covid-19 NDC-HCPCS Crosswalk
- COVID-19 Vaccination Resources at CDC
- COVID-19 CPT Vaccine and Immunization Codes – AMA
- Quick Reference Guide to the Coding Structure for Covid-19 Vaccine CPT Reporting
- Bamlanivimab Emergency Use Authorization
- Casirivimab and imdevimab Emergency Use Authorization (ZIP)
- Fact Sheet for Healthcare Providers – Emergency Use Authorization of Bamlanivimab
- Fact Sheet for Healthcare Providers – Emergency Use Authorization of casirivimab and imdevimab
- COVID-19 Vaccination Training Programs and Reference Materials for Healthcare Professionals
- CMS Provider Toolkit
- CMS COVID-19 Vaccines Payment Allowances and Effective Dates
- Self-pay Provider Relief Fund
- Coding for NCTAP
- ICD-10 Official Guidelines Updated December 16, 2021
- https://www.cms.gov/medicare/medicare-part-b-drug-average-sales-price/covid-19-vaccines-and-monoclonal-antibodies