endstream endobj 169 0 obj <. Please refer to the CMS website for the Influenza and Pneumococcal Vaccine Allowances: https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Part-B-Drugs/McrPartBDrugAvgSalesPrice/index. . Use is limited to use in Medicare, Medicaid, or other programs administered by the Centers for Medicare & Medicaid Services (CMS). Medicaid Providers: UnitedHealthcare will reimburse out-of-network providers for COVID-19 testing-related visits and COVID-19 related treatment or services according to the rates outlined in the Medicaid Fee Schedule. The scope of this license is determined by the AMA, the copyright holder. To facilitate the patient's reimbursement by his or her Part D plan, the physician's office should complete a CMS-1500 claim form for the vaccine and administration service and give it to the patient to file as an unassigned, out-of-network claim. You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. 12 patients in the same home 2. hbbd```b``V~rD2qedIJ-0L| RXX$ H2K X=Ht&;T&30e0 8r ) Administration & Diagnosis Codes Vaccine Codes & Descriptors; 90630: Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, for intradermal use . 195 0 obj <>/Filter/FlateDecode/ID[<02DECBEECA02E24DB9AE02CE5827176A>]/Index[168 44]/Info 167 0 R/Length 122/Prev 159785/Root 169 0 R/Size 212/Type/XRef/W[1 3 1]>>stream If you administer additional vaccine doses on or after August 12, 2021, to immunocompromised Medicare patients, consistent with the FDAs updated emergency use authorizations (EUAs), acknowledge and document (e.g., in the medical record) your patients self-reported qualifying conditions for the additional dose and bill the appropriate billing code for administering an additional dose. Do not report services of fewer than 20 minutes. When a non-participating physician or supplier provides the services, the beneficiary is responsible for paying the difference between what the physician or supplier charges and the amount Medicare allows for the administration fee. PCM services that require fewer than 30 minutes a month are not reported separately. Seasonal Influenza Vaccines Pricing | CMS - Centers for Medicare Any questions pertaining to the license or use of the CPT must be addressed to the AMA. ** For hospitalized patients, Medicare pays for the COVID-19 vaccines separately from the Diagnosis-Related Group (DRG)rate. Prevnar 20 is covered by Medicare. PDF Billing and Reimbursement for COVID-19 vaccine counseling and vaccination .gov The agency will revise the complex patient bonus starting with performance year 2022 and limit it to clinicians who have a median or higher value for at least one of the two risk indicators. The national (not geographically adjusted) 2022 Medicare payment allowance for this code was estimated at $27.21 in the nonfacility (e.g., office) setting, though this could change with the conversion factor. Author disclosures: no relevant financial relationships. Coding for COVID-19 Immunizations | ACOG Use HCPCS Level II code M0201 for the additional payment for administering the COVID-19 vaccine to certain Medicare patients in their homes. Share sensitive information only on official, secure websites. [10]On April 5, 2022, the FDA announced that, due to the high frequency of the Omicron BA.2 sub-variant, sotrovimab isnt currently authorized in any U.S. region. License to use CPT for any use not authorized here in must be obtained through the AMA, CPT Intellectual Property Services, 515 N. State Street, Chicago, IL 60610. Use of CDT-4 is limited to use in programs administered by Centers for Medicare & Medicaid Services (CMS). Billing Medicare for immunizations Medicare Part B covers the cost of inZuenza and pneumococcal (both PPSV23 and PC V13) vaccines, as well as hepatitis B vaccine for persons at increased risk of hepatitis B. Medicare Part B does not cover Before you submit a Medicare claim for administering COVID-19 vaccines, you must find out if: You must gather information both from patients with Original Medicare and those enrolled in Medicare Advantage plans. Clarifying who decides the difference between major and minor surgery: The classification of major and minor surgery is determined by the meaning of those terms when used by a trained clinician. Flu Shot | CMS - Centers for Medicare & Medicaid Services THE LICENSE GRANTED HEREIN IS EXPRESSLY CONDITIONED UPON YOUR ACCEPTANCE OF ALL TERMS AND CONDITIONS CONTAINED IN THIS AGREEMENT. Non-participating physicians may choose not to accept assignment on the administration fee. Payment for Part D-covered vaccines and their administration are made solely by the participating prescription drug plan. Use the ICD-10 diagnosis code Z23 (encounter for immunization) on the claim. The responsibility for the content of this file/product is with CGS or the CMS and no endorsement by the AMA is intended or implied. But, you cant charge your patients or ask them to submit a claim to Medicare or another insurer. CPT added a new category of principal care management (PCM) codes (99424-99427) to the Care Management Services section. Use codes 98976 and 98977 to report supplying the device for scheduled recordings and/or programmed alert transmissions (98976 is for respiratory system monitoring, and 98977 is for musculoskeletal system monitoring). CMS has updated Medicare influenza vaccine payment allowances and effective dates for the 2022-2023 season. 19 Vaccines for Children Down to 6 Months of Age at fda.gov). Subject to the terms and conditions contained in this Agreement, you, your employees, and agents are authorized to use CDT-4 only as contained in the following authorized materials and solely for internal use by yourself, employees and agents within your organization within the United States and its territories. Patients without health insurance can also get the COVID-19 vaccine and administration at no cost. License to use CDT-4 for any use not authorized herein must be obtained through the American Dental Association, 211 East Chicago Avenue, Chicago, IL 60611. (1 x $35 in-home additional payment) 3 + (12 x $40 for each COVID -19 vaccine dose) = $515. The following links contain helpful information for providers. Adding National Drug Codes (NDC) to Claims. 22X, Skilled Nursing Facility (SNF)-covered Part A stay (paid under Part B) & Inpatient Part B, 72X, Independent and Hospital-based Renal Dialysis Facility, 75X, Comprehensive Outpatient Rehabilitation Facility. Telehealth services for mental health may be furnished in the patient's home if the physician or other clinician provided an item or service in person within the six months before the initial telehealth service, and within the 12 months before any subsequent telehealth service. Other services. If your patients only have Part A Medicare coverage, ask if they have other medical insurance to cover Part B services, like vaccine administration. Verify the insurance information: You may use roster billing format, or submit individual claims. You can report these codes when a physician or QHP uses the results of remote therapeutic monitoring to manage the patient under a specific treatment plan. For hospice patients under Part B only, you must include the GW modifier on COVID-19 vaccine administration claims if either of these apply: For Original Medicare patients, Medicare paysRural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) for administering COVID-19 vaccines at 100% of reasonable cost through the cost report. PDF National Fee Schedule for Medicare Part B Vaccine Administration The ADA is a third-party beneficiary to this Agreement. Bookmark | The EUA declaration is distinct from, and not dependent on, the PHE for COVID-19. If you're a person with Medicare, learn more about flu shots. hb```a``z3A2@^C 0hnJysN8U^Pq!bi1 cRkLLE3s0>EQW:$&3(fUr/ n&( t5a`r Access & Support | PREVNAR20 (Pneumococcal 20-valent Conjugate Vaccine) Providers and suppliers who administer casirivimab and imdevimab for PEP should use M0243 or M0244 for administering the first dose and M0240 or M0241 for administering subsequent repeat doses. https:// Measures in their first year will receive 710 points. Vaccine and administration codes. PDF Medicare Reimbursement of COVID-19 Vaccines and Antibody Treatment Access & support. Practices that accept the remaining registry reporting measures (public health registry, clinical data registry, or syndromic surveillance) will earn five bonus points toward their PI score. Administration & Diagnosis Codes Vaccine Codes & Descriptors . Locality-adjusted payment amounts for administration of COVID-19 vaccines You, your employees and agents are authorized to use CPT only as contained in the following authorized materials including but not limited to CGS fee schedules, general communications, Medicare Bulletin, and related materials internally within your organization within the United States for the sole use by yourself, employees, and agents. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. 90677: Pneumococcal conjugate vaccine, 20-valent (PCV20), for intramuscular use. CPT Assistant provides fact sheets for coding guidance for new SARS-CoV-2 (COVID-19)-related vaccine codes. [5] On June 17, 2022, FDA authorized the 50MCG/0.5ML presentation of the Moderna COVID-19 Vaccine to provide primary series doses in individuals 6 years through 11 years of age in addition to the 3/29/2022 FDA authorization to provide booster vaccination doses in individuals 18 years and older. This webpage provides the payment allowances and other related information forCOVID-19 vaccines and certain monoclonal antibody products. 2 patients in the same home. End User/Point and Click Agreement: CPT codes, descriptions and other data only are copyright 2009 American Medical Association (AMA). Email | Certain settings utilize other payment methodologies, such as payment based on reasonable costs. Get the, If you administer pediatric doses,bill the appropriate billing code for administering all pediatric doses consistent with the, If you administer booster doses, including bivalent or updated vaccine doses, bill the appropriate billing code for administering all booster doses consistent with the. If the treating physician or QHP personally performs any care management services but does not meet the 30-minute threshold, those services can be counted toward the required time for the clinical staff codes. CMS will update the formula so the bonus targets clinicians who have a higher share of socially or medically complex patients. Effective Aug. 1, 2022, vaccine administration codes 90471, 90472, and 90474 will no longer be reimbursed at an Off Campus-Outpatient Hospital (POS 19) or an On Campus - Outpatient Hospital (POS 22) place of service. The data completeness threshold will stay at 70% for 2022 and 2023. However, CMS is making a few notable changes to the Merit-based Incentive Payment System (MIPS). MIPS improvement activities category. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material. Chronic care management. National Fee Schedule for Medicare Part B Vaccine Administration . For dates of service through May 11, 2023, SNF: Enforcement Discretion Relating to Certain Pharmacy Billing, New COVID-19 Treatments Add-On Payment (NCTAP). Coverage of other vaccines provided as a preventive service may be covered under a patient'sPart D coverage. CMS is increasing the RVUs for chronic care management codes, resulting in increased payment rates (see 2022 Medicare chronic care management payment updates). As a result, Medicare won't pay for claims with HCPCS codes M0239 or Q0239 with dates of service after April 16, 2021. Other changes to the CPT code set. If you do not agree to the terms and conditions, you may not access or use the software. The appropriate CPT code for the product- and dose-specific COVID-19 vaccine administration, The HCPCS Level II code M0201 to bill for the additional payment amount for administering the COVID-19 vaccine in the home. You can decide how often to receive updates. You can only report code 99427 twice in a calendar month. means youve safely connected to the .gov website. NEW YORK, April 27, 2023 (GLOBE NEWSWIRE) TG Therapeutics, Inc. TGTX today announced that the U.S. Centers for Medicare & Medicaid Services (CMS) has issued a permanent J-Code for BRIUMVI (ublituximab-xiiy), for the treatment of adult patients with relapsing forms of multiple sclerosis (RMS). Certain settings utilize other payment methodologies, such as payment based on reasonable costs. The 2022 CPT code set also includes an appendix for one-stop access to all the codes for COVID-19 vaccine reporting. On or after August 24, 2021. 2022 COVID-19 vaccine administration fees for centralized billers, Indian Health Services, and Veterans Affairs CMS has identified specific codes for the COVID-19 vaccine administration codes. Influenza and pneumonia vaccinations and administration are covered under Part B, not Part D. If a physician sees a beneficiary for the sole purpose of administering one of these vaccines, an office visit cannot be billed. COVID-19 vaccines and certain monoclonal antibody, for more information about Medicare and COVID-19 during and after the COVID-19 PHE, Moderna COVID-19 Vaccine, Bivalent Product (Aged 6, Pfizer-BioNTech COVID-19 Vaccine, Bivalent Product (Aged, Pfizer-BioNTech Covid-19 Pediatric Vaccine (Aged 6 months through 4 years) (Maroon Cap) Administration. $535. The new CPT codes clinically distinguish each coronavirus vaccine for better tracking, reporting and analysis that supports data-driven planning and allocation. These adjustments apply to HCPCS codes G0008, G0009, G0010, COVID-19 vaccine administration CPT codes, and the in-home add-on payment (HCPCS code M0201). [5] . On May 5, 2022, the FDA limited the authorized use of the Janssen COVID-19 vaccine. Johnson & Johnson COVID-19 vaccine. Vaccine administration code changes effective Aug. 1. PDF Medicare Coding Guide - American Medical Association 2022 Administration Codes - Immunization Vaccine Codes (Influenza and As such, CMS is using the mean final score from the 2017 MIPS performance year. Principal care management services. All Rights Reserved. If you want to administer the vaccine for free, you dont have to submit a claim to Medicare, Medicaid, or another insurer. CMS finalized the addition of five new episode-based cost measures: melanoma resection, colon and rectal resection, sepsis, diabetes, and asthma/chronic obstructive pulmonary disease. Office and other outpatient E/M services. All PCM services require the following elements: One complex chronic condition expected to last at least three months that places the patient at significant risk of hospitalization, acute exacerbation or decompensation, functional decline, or death. You acknowledge that the ADA holds all copyright, trademark and other rights in CDT-4. 90626: Tick-borne encephalitis virus vaccine, inactivated; 0.25 mL dosage, for intramuscular use. Medicare began covering Prevnar 20 on October 1, 2021 1; Pneumococcal vaccines covered under Part B are available to Medicare beneficiaries at $0 out of pocket 2 As a result, CMS issued a new product code for casirivimab and imdevimab (Q0244) and updated the descriptors for the existing administration codes (M0243/M0244). Copyright 2022 by the American Academy of Family Physicians. If you submit roster bills for administering the COVID-19 vaccine in the home, you must submit 2 roster bills: A roster bill containing the appropriate CPT code for the product- and dose-specific COVID-19 vaccine administration, A second roster bill containing the HCPCS Level II code (M0201) for the additional in-home payment amount. Clarifying the definition of a unique test: Multiple results of the same tests during an E/M service are considered one unique test. Effective Date: January 1, 2023 . Coding for Vaccine Administration | AAFP This Agreement will terminate upon notice if you violate its terms. Medicare Part B: Vaccine Coverage. $152. https:// Medicare will pay two administration fees if a beneficiary receives both the influenza virus and the pneumococcal vaccine on the same day. In 2023, CMS will define the substantive portion of the visit as more than half the total time. Medicare Part B provides preventive coverage only for certain vaccines. Inpatient prolonged services codes 99356 and 99357 also join the list. CMS will only cover this for physicians or providers who have the capacity to furnish two-way audio-video telehealth services but use audio-only because the beneficiary can't use, doesn't wish to use, or doesn't have access to two-way audio-video technology. To learn more about billing and payment, including MA wrap-around payments, visit the FQHC Center or review our FAQs. TG Therapeutics Announces Issuance of Permanent J-Code - TradingView 168 0 obj <> endobj All Rights Reserved. The AMA is a third party beneficiary to this license. There are several telehealth-related changes this year, including a Medicare provision for ongoing coverage of audio-only mental health services under certain conditions. Dont include the vaccine codes on the claim when the vaccines are free. Medicare Billing for COVID-19 Vaccine Shot Administration This content is owned by the AAFP. PDF National Fee Schedule for Medicare Part B Vaccine Administration Medicare Part B Payment for COVID-19 Vaccines and Certain Monoclonal Antibodies. Documentation in the medical record must identify the two individuals who performed the visit, and the individual who provides the substantive portion must sign and date the medical record. lock An official website of the United States government CMS typically establishes quality measure benchmarks using data from two years before the performance period. CPT 2022 includes five new vaccine codes and nine new vaccine administration codes related to COVID-19. Hospitals bill on a 12X type of bill. 2023 COVID-19 vaccine administration fees for centralized billers Learn more about what happens to EUAs when a PHE ends. The fee for vaccine administration is entered into the incentive amount submitted (field 438-E3). On or after August 24, 2021. Original Medicare wont pay these claims. Pneumococcal and Hepatitis B Vaccine Administration (For Providers and Suppliers Paid MPFS-Adjusted Rates) - For claims . Unlike chronic care management and complex chronic care management, PCM focuses on medical or psychological needs caused by a single, complex chronic condition expected to last at least three months. The limiting charge provision does not apply to the influenza benefit. This change extends beyond the pandemic. This is not necessary for the influenza and pneumococcal vaccines for which Medicare does not require a physician's order or supervision. The codes require at least one interactive communication with the patient or caregiver. All rights reserved. Clarifying what is meant by discussion between physicians/other qualified health care professionals (QHPs) and patients: Discussion requires a direct, interactive exchange. Medicare Preventative Services: Flu Shot | Guidance Portal - HHS.gov CMS also made a few changes to the reporting requirements for the PI category. Providersenrolled as centralized billerscan submit a professional claim to Novitas, regardless of where you administered the vaccines. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL CONTAINED ON THIS PAGE. See, If you have questions about billing or payment for administering the vaccine to patients with private insurance or Medicaid, contact the health plan or. When providing a Part D covered vaccine to a Medicare patient, the physician should charge the patient for the vaccine and its administration. These codes are reported with $0.00. The Current Procedural Terminology (CPT1) Editorial Panel has approved a new vaccine administration code: 0113A - Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA- Clinician/group risk-standardized hospital admission rates for patients with multiple chronic conditions. Practices must accept or claim an applicable exclusion to two registry measures that were previously optional: immunization registry reporting and electronic case reporting. This includes all preventive vaccines not covered under Medicare Part B. [1]Providers shouldn't bill for the product if they received it for free through the USG-purchased inventory. CMS added a fourth exclusion option for electronic case reporting: Practices may claim an exclusion if they use certified EHR technology that does not meet the electronic case reporting certification criterion before the selected performance period. Starting January 1, 2023, well also annually update the COVID-19 vaccine payment rates to reflect changes in costs related to administering preventive vaccines. CPT also added two new codes for treatment management services that stem from remote therapeutic monitoring. PDF Update: 2021-2022 Flu Vaccine Information - Maryland.gov Enterprise Vaccine administration. We will adjudicate benefits in accordance with the member's health plan. Instead, you must click below on the button labeled "I DO NOT ACCEPT" and exit from this computer screen. 2 patients in the same home. COVID-19 vaccine administration codes . Providers should not bill for the product if they received it for free. Do not report these codes with other physiologic monitoring services or if the monitoring is less than 16 days. COVID-19 CPT vaccine and immunization codes - American Medical Association Therefore, youmay not administerREGEN-COV for treatment or post-exposure prevention of COVID-19 under the EUA until further notice. The table below breaks down the vaccine codes and payment allowances for the 2021-2022 season. Any questions pertaining to the license or use of the CDT-4 should be addressed to the ADA. Copyright 2023 American Academy of Family Physicians. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. Codes 99426 and 99427 are for services provided by clinical staff under the direction of a physician or QHP. National Payment Allowance Effective for Claims with DOS on or after 03/15/2021, National Payment Allowance Effective for Claims with DOS through 03/14/2021, Pfizer-BioNTech Covid-19 Vaccine (Aged 12 years and older) (Purple Cap), Pfizer-BioNTech Covid-19 Vaccine(Purple Cap) Administration First Dose, Pfizer-BioNTech Covid-19 Vaccine(Purple Cap) Administration Second Dose, Pfizer-BioNTech Covid-19 Vaccine(Purple Cap) Administration Third Dose, Pfizer-BioNTech Covid-19 Vaccine(Purple Cap) Administration Booster, Moderna Covid-19 Vaccine (Aged 12 years and older) (Red Cap), Moderna Covid-19 Vaccine(Red Cap) Administration First Dose, Moderna Covid-19 Vaccine(Red Cap) Administration Second Dose, Moderna Covid-19 Vaccine(Red Cap) Administration Third Dose, AstraZeneca Covid-19 Vaccine Administration First Dose, AstraZeneca Covid-19 Vaccine Administration Second Dose, Janssen Covid-19 Vaccine(Aged 18 years and older)[3], Janssen Covid-19 Vaccine Administration - First Dose[3], Janssen Covid-19 Vaccine Administration - Booster[3], Novavax Covid-19 Vaccine, Adjuvanted (Aged 12 years and older), Novavax Covid-19 Vaccine,Adjuvanted Administration First Dose, Novavax Covid-19 Vaccine,Adjuvanted Administration Second Dose, Novavax Covid-19 Vaccine, Adjuvanted Administration - Booster, Pfizer-BioNTech Covid-19 Vaccine Pre-Diluted (Aged 12 years and older)(Gray Cap), Pfizer-BioNTech Covid-19 Vaccine Pre-Diluted (Gray Cap) Administration - First dose, Pfizer-BioNTech Covid-19 Vaccine Pre-Diluted (Gray Cap) Administration - Second dose, Pfizer-BioNTech Covid-19 Vaccine Pre-Diluted (Gray Cap) Administration - Third dose, Pfizer-BioNTech Covid-19 Vaccine Pre-Diluted (Gray Cap) Administration - Booster, Moderna Covid-19 Vaccine(Aged 18 years and older) (Red Cap) (Low Dose), Moderna Covid-19 Vaccine (Red Cap) (Low Dose) Administration - Booster, Pfizer-BioNTech Covid-19 Pediatric Vaccine (Aged 5 years through 11 years) (Orange Cap), Pfizer-BioNTech Covid-19 Pediatric Vaccine (Orange Cap) Administration - First dose, Pfizer-BioNTech Covid-19 Pediatric Vaccine (Orange Cap) Administration - Second dose, Pfizer-BioNTech Covid-19 Pediatric Vaccine (Orange Cap) Administration - Third dose, Pfizer-BioNTech Covid-19 Pediatric Vaccine (Orange Cap)Administration - Booster, Pfizer-BioNTech Covid-19 Pediatric Vaccine (Aged 6 months through 4 years) (Maroon Cap), Pfizer-BioNTech Covid-19 Pediatric Vaccine (Aged 6 months through 4 years) (Maroon Cap) Administration - First dose, Pfizer-BioNTech Covid-19 Pediatric Vaccine (Aged 6 months through 4 years) (Maroon Cap)Administration - Second dose, Pfizer-BioNTech Covid-19 Pediatric Vaccine (Aged 6 months through 4 years) (Maroon Cap) Administration - Third dose, Moderna Covid-19 Vaccine (Aged 6 years through 11 years or aged 18 years and older) (Blue Cap with purple border) 50MCG/0.5ML[5], Moderna Covid-19 Pediatric Vaccine (Aged 6 years through 11 years) (Blue Cap with purple border) Administration - First dose, Moderna Covid-19 Pediatric Vaccine (Aged 6 years through 11 years) (Blue Cap with purple border) Administration - Second dose, Moderna Covid-19 Pediatric Vaccine (Aged 6 years through 11 years) (Blue Cap with purple border)Administration - Third dose, Moderna Covid-19 Vaccine (Aged 18 years and older) (Blue Cap with purple border) 50MCG/0.5ML Administration - Booster, Moderna Covid-19 Pediatric Vaccine (Aged 6 months through 5 years) (Blue Cap with magenta border) 250MCG/0.25ML, Moderna Covid-19 Pediatric Vaccine (Aged 6 months through 5 years) (Blue Cap with magenta border) Administration - First dose, Moderna Covid-19 Pediatric Vaccine (Aged 6 months through 5 years) (Blue Cap with magenta border) Administration - Second dose, Moderna Covid-19 Pediatric Vaccine (Aged 6 months through 5 years) (Blue Cap with magenta border) Administration - Third dose, Moderna COVID-19 Vaccine, Bivalent Product (Aged 6 years through 11 years) (Dark Blue Cap with gray border), Moderna COVID-19 Vaccine, Bivalent (Aged 6 years through 11 years) (Dark Blue Cap with gray border) Administration Booster Dose, Pfizer-BioNTech COVID-19 Vaccine, Bivalent Product (Aged 5 years through 11 years) (Orange Cap), Pfizer-BioNTech COVID-19 Vaccine, Bivalent Product (Aged 5 years through 11 years) (Orange Cap) Administration Booster Dose, Moderna COVID-19 Vaccine, Bivalent Product (Aged 6 months through 5 years) (Dark Pink Cap and a label with a yellow box), Moderna COVID-19 Vaccine, Bivalent (Aged 6 months through 5 years) (Dark Pink Cap and label with a yellow box) Administration Booster Dose, Pfizer-BioNTech COVID-19 Vaccine, Bivalent Product (Aged 6 months through 4 years) (Maroon Cap), Pfizer-BioNTech Covid-19 Pediatric Vaccine (Aged 6 months through 4 years) (Maroon Cap) Administration Booster Dose, Covid-19 vaccine administration inside a patient's home; reported only once per individual home per date of service when only covid-19 vaccine administration is performed at the patient's home.