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MedicaidBilling CodesMedium impact

COVID-19 vaccine clinical policy update

Washington Apple Health·WA · Family Medicine, Internal Medicine, General Practice +1 more·Medical Policy
Effective date
Oct 12, 2022
We identified it
Jun 20, 2026
Days to comply

Summary

Washington State Medicaid (Apple Health) added four new COVID-19 vaccine booster billing codes effective October 12, 2022. The policy includes two new vaccine codes and two new administration codes for Moderna and Pfizer boosters.

Action Required

Action needed
Immediately: Billing team must update system to include new COVID-19 booster codes 91314, 0144A, 91315, and 0154A for Washington State Medicaid claims with dates of service on or after October 12, 2022. Update encounter forms and fee schedules with new codes for Moderna and Pfizer booster vaccines and administration.

Affected Billing Codes

91314
91315