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| Short Descr | SARSCOV2 VAC BVL 10MCG/0.2ML | Medium Descr | SARSCOV2 VACCINE BIVALENT 10 MCG/0.2 ML IM USE | Long Descr | Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, bivalent, preservative free, 10 mcg/0.2 mL dosage, for intramuscular use | Status Code | Statutory Exclusion (from MPFS, may be paid under other methodologies) | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 9 - Not Applicable | Multiple Procedures (51) | 9 - Concept does not apply. | Bilateral Surgery (50) | 9 - Concept does not apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 9 - Concept does not apply. | Co-Surgeons (62) | 9 - Concept does not apply. | Team Surgery (66) | 9 - Concept does not apply. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Influenza, Pneumococcal Pneumonia, Hepatitis B, and Covid-19 Vaccines; Monoclonal Antibody Therapy Product | Berenson-Eggers TOS (BETOS) | none | MUE | Not applicable/unspecified. |
| SL | State supplied vaccine |
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Date
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Action
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Notes
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| 2025-01-01 | Deleted | First appearance of code deletion in codebook. |
| 2024-01-01 | Added | First appearance in codebook |
| 2023-11-01 | Deleted | Code deleted. See 91318, 91319, 91320, 91321, 91322. |
| 2023-04-18 | Note | AMA guidelines changed to include 0141A, 0142A. Published to website 2023-05-01. Received FDA approval effective retroactively to 2023-04-18. |
| 2023-04-18 | Note | These codes (included in the guidelines) are no longer authorized for use in the United States: 0011A, 0012A, 0013A, 0064A, 0091A, 0092A, 0093A, 0094A, 0111A, 0112A, 0113A. |
| 2023-04-18 | Note | Changes made to dosing information |
| 2022-12-08 | Added | 91316 received FDA approval. |
| 2022-12-08 | Note | AMA Guideline changed. 0164A received FDA approval. |
| 2022-11-16 | Added | 91316 Published on AMA website. Effective upon receiving emergency Use Authorization or approval from the FDA. |
| 2022-11-16 | Note | AMA guidelines includes 0011A, 0012A, 0013A, 0064A, 0091A, 0092A, 0093A, 0094A, 0111A, 0112A, 0113A, 0134A, 0144A: Published on AMA website & received FDA approval prior to the addition of 91316. |
| 2022-11-16 | Note | AMA guideline changed to include 0164A effective upon receiving Emergency Use Authorization or approval from the FDA. |
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