MedicaidBilling CodesMedium impact
COVID-19 vaccine clinical policy update, effective 1/3/2022
Washington Apple Health·WA · Family Medicine, Internal Medicine, Pediatrics +1 more·Medical Policy
Effective date
Jan 3, 2022
We identified it
Jun 20, 2026
Summary
Washington State Apple Health (Medicaid) added coverage for CPT code 0073A for pediatric COVID-19 vaccine third dose administration, effective retroactively from January 3, 2022. The Emergency COVID-19 Fee Schedule was also revised with updated payment rates.
Action Required
Immediately: Billing team must verify CPT code 0073A is active in billing system for Pfizer-BioNTech COVID-19 pediatric vaccine third dose administration. Update encounter forms to include this code for applicable patients. Review and implement revised Emergency COVID-19 Fee Schedule rates from HCA's website under COVID-19 billing guides.