MedicaidBilling CodesMedium impact
MAB2021122701
Pennsylvania Medicaid (DHS)·PA · Family Medicine, Pediatrics, Internal Medicine +1 more·Provider Bulletin
Effective date
Oct 29, 2021
We identified it
Jun 20, 2026
Summary
Pennsylvania Medicaid added two new CPT codes (0071A and 0072A) for billing pediatric COVID-19 vaccine administration by Pfizer, effective October 29, 2021. These codes are specific to the 10 mcg pediatric dosage and must be used for tracking purposes in both fee-for-service and managed care systems.
Action Required
Immediately: Update billing system to include CPT codes 0071A (first dose) and 0072A (second dose) for pediatric Pfizer COVID-19 vaccine administration for Pennsylvania Medicaid patients. Train staff to use M0201 for homebound patients along with vaccine codes. FQHCs and RHCs must bill T1015 for encounters and add vaccine codes on separate lines for tracking. Verify patients are not covered by VFC program before billing Medicaid.