Coding for Reimbursement

Commercial

How are you billing?

Pharmacists using the NCPDP format should use the appropriate NDC and units for the vaccine administered.

Please note that $0 patient cost share for an ACIP recommended vaccine generally requires an in-network provider.

Based on your inputs:
  1. mNEXSPIKE
  2. Commercial
  3. Pharmacy benefit
Start Over

NDC Codes

mRESVIA® (Respiratory Syncytial Virus Vaccine) 50mcg/.5mL prefilled syringe

SINGLE DOSE PREFILLED SYRINGE:
80777-345-01

NOTES:

The Billing Unit (BU) is a milliter (mL) for the individual vaccine product with the quantity of the number of units dispensed.

mRESVIA® (Respiratory Syncytial Virus Vaccine) is billed with 0.5mL.

Remember to bill for the administration service if performed.

Additional Codes

CVX

326

CVX DESCRIPTOR:
  • RSV, mRNA, injectable, Respiratory syncytial virus (RSV), mRNA, injectable, preservative free
  • Used for registries as required.

For more details, visit our mRESVIA Frequently Asked Questions page.

Please see the mRESVIA Full Prescribing Information for more information.

mRESVIA Full Prescribing Information

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 the provider's responsibility and should always be based on the patient's clinical condition, services provided, and current payer guidelines.