Medicaid
For commercially acquired product, (not vaccine for children product), Medicaid health care providers should code for the vaccine product administered and the related COVID-19 vaccine administration.
Check with your state agency or Medicaid managed care entity to determine any specific coverage or coding requirements.
- Moderna COVID-19 Vaccine (6 months - 11 years)
- Medicaid
- Medical benefit
CPT Code - Vaccine Product
Moderna COVID-19 Vaccine 2024-2025 Formula 25mcg/.25mL (6mos-11 years)
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, 25mcg/0.25mL dosage, for intramuscular use.
CPT Code - Administration
Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-
2) (coronavirus disease [COVID-19]) vaccine, single dose.
Additional Codes
ICD-10
Document the patient's situation and use consistent with the FDA authorization and CDC guidelines as appropriate.
CVX
- SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 25 mcg/0.25 mL dose
- Used for registries as required.
For more details, visit our Frequently Asked Questions page.
Spikevax 2024-2025 Formula Prescribing Information 12y
Moderna COVID-19 Vaccine 2024-2025 Formula Fact Sheet for Vaccine Providers 6m-11y
Moderna COVID-19 Vaccine 2024-2025 Formula Fact Sheet for Vaccine Recipients 6m-11y
The coding and billing information contained in this digital tool is provided as a resource and every effort is made to ensure the accuracy of this information. Appropriate coding and billing for healthcare services are theprovider's responsibility and should always be based on the patient's clinical condition, services provided, and current payer guidelines