MedicaidBilling CodesHigh impact
MAB2020122401
Pennsylvania Medicaid (DHS)·PA · Family Medicine, Internal Medicine, Pediatrics +1 more·Provider Bulletin
Effective date
Dec 1, 2020
We identified it
Jun 20, 2026
Summary
Pennsylvania Medical Assistance (Medicaid) added four new CPT codes (0001A, 0002A, 0011A, 0012A) for COVID-19 vaccine administration billing, effective December 1, 2020. All codes reimburse at $10.00 per administration and apply to both Pfizer and Moderna vaccines with separate codes for first and second doses.
Action Required
Immediately: Billing team must update system to include new CPT codes 0001A, 0002A, 0011A, and 0012A for COVID-19 vaccine administration at $10.00 reimbursement rate. Update encounter forms to specify manufacturer and dose number (Pfizer vs Moderna, first vs second dose). Ensure billing staff understand they cannot bill for vaccines received at no cost from federal government, only the administration fee.