Wiki Billing for Covid 19 on 5-11 years old (91307) and admin (0071A and 0072B)

[kemjunlimited]

We are a pediatric group and currently giving Covid vaccine to our patient. We are using Pfizer (91307) and admin code of 0071A and 0072A) Blue Shield and Health Net are rejecting our claims . Can anyone help us on how to bill it appropriately on HCFA 1500?

 

[ehlberg7575]

I would check their policies. Those are the appropriate codes based on CMS and AMA guidance. Perhaps they not have loaded them in their system yet. We have successfully been getting paid in NYS for billing these codes.