Please Hold Claims for Pfizer Pediatric COVID-19 Booster Vaccine Administration Services

Effective May 17, 2022, the United States Food and Drug Administration (FDA) issued an Emergency Use Authorization (EUA) for the Pfizer pediatric COVID-19 vaccine booster for children ages five to eleven years old. MaineCare will be updating the claims system in the coming weeks to add the following code for this service: 

Code 

Description 

MaineCare Effective Date 

0074A 

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; Booster Dose 

May 17, 2022 

Providers of COVID-19 vaccine administration services are advised to hold claims for procedure code 0074A until the system update is complete.  

We will send another message when the system update is complete. At that time providers may submit their held claims or resubmit any denied claims for code 0074A.  

Please contact your Provider Relations Specialist with questions.     

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