Novavax Monovalent COVID-19 Vaccine Authorized for Use as Booster Doses in Adults Ages 18 and Older
On October 19, 2022, the Food and Drug Administration (FDA) reissued an Emergency Use Authorization letter (EUA) for the use of Monovalent COVID-19 vaccine booster doses from Novavax. The American Medical Association (AMA) updated their COVID-19 CPT vaccine and immunization codes webpage to include the Current Procedural Terminology (CPT) codes as shown in the table below.
The Office of MaineCare Services (OMS) will be updating our system to include this code. We are asking providers to hold all claims for the Novavax Monovalent COVID-19 vaccine booster dose and its administration for all members ages 18 years and older until this system update is complete.
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Novavax COVID-19 Vaccine Monovalent Booster Dose |
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Code |
Description |
Effective Date |
MaineCare Rate |
|
91304+ |
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, bivalent, preservative free, 50 mcg/0.5 mL dosage, for intramuscular use |
07/13/22 |
$0* |
|
0044A |
Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, recombinant spike protein nanoparticle, saponinbased adjuvant, preservative free, 5 mcg/0.5 mL dosage; booster dose |
10/19/22 |
TBD** |
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*Government Supplied Vaccines **Rates for these codes are not yet established +Code previously released 07/13/22 as part of the Novavax COVID-19 vaccine primary series Note: The COVID-19 vaccine administration codes will be added for roster billing |
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Providers may visit the Maine CDC Immunization Program Website for up-to-date information on administering and ordering COVID-19 vaccine and booster doses. The Maine CDC also issued this notice that includes information on COVID-19 vaccine booster doses.
If you have questions about the use of Monovalent or Bivalent COVID-19 vaccine booster doses, please contact your Provider Relations Specialist.
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