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MedicaidBilling CodesMedium impact

BT202237: Additional COVID-19 vaccine and administration codes covered for Moderna second booster shots

Indiana Medicaid (IHCP)·IN · Family Medicine, Internal Medicine, General Practice +1 more·Provider Bulletin
Effective date
Mar 29, 2022
We identified it
Jun 19, 2026
Days to comply

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.

Action Required

Action needed
Immediately: Billing 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. Link both codes to revenue code 636. Submit all COVID-19 vaccination claims to Gainwell Technologies for both managed care and FFS members. For claims beyond standard filing limits, include first page of bulletin BT202237 with submission.

Affected Billing Codes

91309