MedicaidBilling CodesMedium impact
Authorization of Pfizer-BioNTech COVID-19 Vaccine for Pediatric Administration - Ages 5 to 11 Years pdf
Connecticut Medicaid (HUSKY Health)·CT · Family Medicine, Pediatrics, General Practice·Prior Authorization
Effective date
Oct 29, 2021
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid (HUSKY Health) now covers Pfizer-BioNTech COVID-19 vaccine administration for children ages 5-11 years, effective October 29, 2021. New billing codes 0071A and 0072A are available for first and second dose administration at $40.00 each.
Action Required
Immediately: Billing team must add new procedure codes 0071A (pediatric COVID vaccine 1st dose) and 0072A (pediatric COVID vaccine 2nd dose) to billing system for HUSKY Health members ages 5-11. Set reimbursement rate at $40.00 per dose. Outpatient hospitals must use Revenue Center Code 770 and include vaccine product code 91307 with NDC. Pharmacy providers must use specific submission clarification codes (2 for first dose, 6 for second dose).