New CPT Codes For RSV Vaccine Administration
New CPT Codes For RSV Vaccine Administration
Centers for Medicare & Medicaid Services added 2 new CPT codes for respiratory syncytial virus (RSV) vaccine administration to the Medicare Physician Fee Schedule. These new codes are effective for date of service on and after October 6, 2023. They are:
|
Code |
Descriptions |
WRVUs |
Non-facility TRVUs |
Administration |
Instructional Note |
|---|---|---|---|---|---|
|
96380 |
Administration of respiratory syncytial virus, monoclonal antibody, seasonal dose by intramuscular injection, with counseling by physician or other qualified healthcare professional. |
0.24 |
0.68 |
*Infants < 8 months (during 1st RSV season)
|
Code also RSV monoclonal antibody, seasonal dose (90380, 90381) |
|
96381 |
Administration of respiratory syncytial virus, monoclonal antibody, seasonal dose by intramuscular injection. |
0.17 |
0.59 |
It is currently not recommended that pregnant patients who received the maternal RSV vaccine during the 2023-2024 RSV season, receive an additional dose during a subsequent pregnancy. For patients vaccinated in a previous pregnancy, their infants should receive nirsevimab during the 2024-2025 respiratory season.