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SPIKEVAX - Commercial - Medical benefit

For vaccines, remember to code for the vaccine product administered and the appropriate related vaccine administration code.Please note that $0 patient cost share for an ACIP recommended vaccine generally requires an in-network provider.Vaccine product coding uses the CPT code that most accurately describes the vaccine product administered. Vaccine administration uses existing CPT immunization administration codes based on patient age and number of vaccines administered on the same day of service.

For more details, visit our Frequently Asked Questions.

CPT Code - Vaccine Product

Use the CPT code for the vaccine and dose administered.

Spikevax® (COVID-19 Vaccine, mRNA) 2026-2027 Formula 0.5 mL Prefilled Syringe

VACCINE CODE:

CPT 91322

VACCINE DESCRIPTOR:Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, 50 mcg/0.5 mL dosage, for intramuscular use.

CPT Code - Vaccine Administration

Use CPT code 90480 for administration of all COVID-19 vaccinations.

ADMINISTRATION CODE:

CPT 90480

ADMINISTRATION DESCRIPTOR: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

DIAGNOSIS CODE:

Z23 Encounter for Immunization

DIAGNOSIS DOCUMENTATION:Document the patient's situation and use consistent with the FDA authorization and CDC guidelines as appropriate.

CVX

CVX CODE:

312

CVX DESCRIPTOR:SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 50 mcg/0.5 mL dose. Used for registries as required.

Please see the Spikevax® 2026-2027 Formula Prescribing Information and the Moderna COVID-19 Vaccine (2026-2027 Formula) Fact Sheets for more information.

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

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Product

SPIKEVAX® 0.5 mL dose

PayerCommercial

Billing TypeMedical benefit

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