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BT202237: Additional COVID-19 vaccine and administration codes covered for Moderna second booster shots
Act
immediately
Effective date
Mar 29, 2022
Identified
Jun 19, 2026
Summary
Indiana Health Coverage Programs (IHCP) now covers Moderna COVID-19 second booster shots for eligible patients 50+ or immunocompromised 18+ using new CPT codes 0094A (administration) and 91309 (vaccine). The vaccine administration is reimbursed at $36.90 while the vaccine itself is free.
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What to do
immediately · 4 steps
01Billing team must update system to include new CPT codes 0094A (administration - $36.90) and 91309 (vaccine - $0.00) for Moderna COVID-19 second booster shots.
02Link both codes to revenue code 636.
03Submit all COVID-19 vaccination claims to Gainwell Technologies for both managed care and FFS members.
04For claims beyond standard filing limits, include first page of bulletin BT202237 with submission.
Codes mentioned
91309
Original notice
BT202237: Additional COVID-19 vaccine and administration codes covered for Moderna second booster shots
in.gov · Always check the source before changing claims.
Related changes
See all Indiana Medicaid (IHCP) changes →BT202287: IHCP updates age ranges for Moderna COVID vaccine and administration codesMediumEffective Jun 17, 2022 · Provider BulletinBT202361: IHCP removes coverage for Pfizer and Moderna monovalent COVID-19 vaccine codesMediumEffective Apr 18, 2023 · Medical PolicyBT2021100: IHCP to cover Covid-19 vaccine booster shotsHighEffective Oct 20, 2021 · Provider BulletinBT2022101: IHCP adds coverage for COVID-19 booster vaccines and administrationMediumEffective Aug 31, 2022 · Medical PolicyBrowse every Indiana Medicaid (IHCP) change in the policy list