3 New MSP COVID Immunization Services

Ashley Lane
March 1, 2021

Starting January 25, 2021, the Family Medicine section of the MSC Payment Schedule added the following temporary fee codes:

T10042 COVID-19 immunization (with visit)

$5.43

Guidelines

  • Payable for COVID-19 immunization (make sure you set the ICD-9 to C19)
  • Payable in full with a visit
  • If the main reason you’re seeing the patient is just for immunization then you should bill 10043 (immunization without a visit)  or 10044 (extended immunization)


TB10043 COVID-19 immunization (without visit) 

$14.00 

Guidelines

  • Payable for COVID-19 immunization (make sure you set the ICD-9 code to C19)
  • Not payable with a visit


TB10044 Extended COVID-19 immunization (extra) 

$17.62 

Guidelines

  • Payable for an extended COVID-19 immunization (make sure you set the ICD-9 code to C19)
  • Paid only with 10043 if you’re with the patient for more than 10 minutes
  • Make sure you enter the start and end times on both the billing claim and the patient’s chart
  • Not eligible if part of a health authority immunization program
  • Can only be authorized by you, not a nurse or other employee

 

If you have any questions about the above Immunization Services don’t hesitate to reach out to our team.