Medicaid
For vaccines, remember to code for the vaccine product administered and the appropriate related vaccine administration code.
Check with your state agency or Medicaid managed care entity to determine any state specific coding, site of service or preferred network requirements.
Vaccine Product Coding
Use the CPT code that most accurately describes the vaccine product administered.
Vaccine Administration
Use the existing CPT immunization administration codes to describe the service based on the patient age and number of vaccines administered on the same day of service.
CPT Code - Vaccine Product
mRESVIA® (Respiratory Syncytial Virus Vaccine) 50mcg/.5mL prefilled syringe
Respiratory syncytial virus vaccine, mRNA lipid nanoparticles, for intramuscular use
CPT Code - Administration
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)
Immunization administration (each additional vaccine)
Additional Codes
ICD-10
Document the patient's situation and use consistent with the FDA authorization and CDC guidelines as appropriate.
CVX
- 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.
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.