COVID-19 vaccine administration codes Copied
A new system for administration codes has been put into place for the COVID-19 vaccines. iKnowMed Generation 2 now has logic to determine the first dose and second dose admin codes based on Health Maintenance records and immunization administration within the EHR.
The COVID-19 vaccines come in two doses. The same medication is used for the first dose and the second dose, but the administration codes for the first and the second dose are different.
In this release, we will support the admin codes for Pfizer and Moderna. When the AstraZeneca brand and any subsequent brands of vaccine are approved by the FDA, we will add those administration codes as well.
Below is a table demonstrating the billing codes for Pfizer and Moderna:
| Brand | Dose | Medication Code | First Dose Admin Code | Second Dose Admin Code |
|---|---|---|---|---|
| Pfizer-BioNTech | 30 mcg/0.3mL | 91300 | 0001A | 0002A |
| Moderna | 100 mcg/0.5mL | 91301 | 0011A | 0012A |
When administering COVID-19 vaccines, you will notice on the charge capture report that each brand of vaccine has a different administration code and that the first dose and the second dose have different administration codes. iKnowMed Generation 2 determines which code to use based on the following situations:
First Dose Admin Code
- Patient has never received the vaccine: the patient does not have a health maintenance record for a COVID-19 vaccine, and they are receiving the COVID-19 vaccine from a practice or location using iKnowMed Generation 2 for the first time in the last 90 days.
- Patient has received the vaccine, but it was too far in the past to be considered a second dose: the patient has a health maintenance record for the COVID-19 vaccine, but the date of the vaccine is over 90 days in the past.
Second Dose Admin Code
- Patient received their first dose from a practice using iKnowMed Generation 2: the patient does not have a Health Maintenance record for a COVID-19 vaccine, and they are receiving the COVID-19 vaccine from a practice using iKnowMed Generation 2 for the second time in the last 90 days.
- Patient received their first dose somewhere else and it has been documented in Health Maintenance: the patient has a health maintenance record for the COVID-19 vaccine, and they are receiving the COVID-19 vaccine from a practice using iKnowMed Generation 2for the first time in the last 90 days.