Updated COVID-19 vaccines approved by FDA

The U.S. Food and Drug Administration recently amended the emergency use authorization of COVID-19 vaccines from Moderna,** Novavax** and Pfizer-BioNTech** to include the 2023-24 formula.

Use the following procedure codes for COVID-19 monovalent vaccine administration and products: *90480, *91304, *91318, *91319, *91320, *91321 and *91322. 

For more information, see the following:

• Sept. 14, 2023, Centers for Medicare & Medicaid Services Medicare Learning Network^® newsletter**
• Oct. 6, 2023, CMS MLN newsletter**

The vaccine administration and products are part of members’ preventive benefits. For most health plans, there’s no member cost sharing. See below for information about checking vaccine benefits for Blue Cross Blue Shield of Michigan commercial groups that may have cost sharing or may not have vaccine coverage.

Blue Cross commercial groups that may have cost sharing or may not have vaccine coverage

For members who have coverage through Blue Cross commercial groups that are exempt from the Patient Protection and Affordable Care Act, members may have cost sharing or they may not have vaccine coverage.

Here’s how to check member eligibility and benefits for vaccines:

1. Log in to our provider portal (availity.com).**
2. Click on Patient Registration in the menu bar and then click on Eligibility and Benefits Inquiry.
3. Enter the payer information and complete the fields in the Provider Information section.
4. Complete the Patient Information section and click on Search.
5. Select the row for the appropriate member.
6. In the Service Information section, enter Immunizations in the Benefit/Service Type field.
7. Click on Submit.
8. Do one of the following:

For more information on our vaccines, see the article “Blue Cross and BCN covering additional vaccines,” also in this issue.

None of the information included in this article is intended to be legal advice and, as such, it remains the provider’s responsibility to ensure that all coding and documentation are done in accordance with all applicable state and federal laws and regulations.

Availity^® is an independent company that contracts with Blue Cross Blue Shield of Michigan and Blue Care Network to offer provider portal and electronic data interchange services.

**Blue Cross Blue Shield of Michigan doesn’t own or control this website.