Home › Drug Codes › CPT Codes › 91318 · COVID-19 VACCINE 2023-2024
Updated October 1st, 2026

COVID-19 VACCINE 2023-2024 CPT Vaccine Code: 91318

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, 3 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use

Login to unlock all benchmarks
Medicare Payment Limit ?
Not published
Not on CMS's current vaccine price files
CDC Cost / Dose ?
$•••.••
Login to view
Private Sector Cost / Dose ?
$•••.••
Login to view
WAC · AWP ?
$•••.••
Login to view
NDCs Crosswalked ?
1
View NDC crosswalk →
Prior-Season Vaccine Product COVID-19 VACCINE 2023-2024 is a prior-season formulation, and CMS no longer publishes a current Medicare payment limit for it. Browse current vaccine codes →

Vaccine & Product Overview

HCPCS Descriptor Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, 3 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use
Manufacturer Pfizer
Route of Administration Intramuscular
Generic Status Single-Source; Branded
Dosage Type Multi-Dose

About COVID-19 VACCINE 2023-2024

Covid-19 Vaccine 2023-2024 is a medication aligned to the HCPCS CPT Drug Code: 91318 for billing, pricing, and reimbursement purposes in the United States. Classified under COVID-19, it is administered via the intramuscular route and manufactured by Pfizer.

According to CMS Drug Use Information: This vaccine is used to help prevent coronavirus disease, also known as COVID-19. It works by increasing the body's natural defense (immunity) against the virus. This vaccine may prevent the illness, or reduce the seriousness of it. Vaccines may not fully protect everyone who receives them.

Disclaimer: This is a summary and does not contain all possible information about this product. For complete information about this product or your specific health needs, ask your healthcare professional.

NDC Code Information

1 NDC package is crosswalked to 91318. Package detail is available to logged-in subscribers.

Login to view 1 NDC package View pricing, complete NDC-to-HCPCS alignments, and package details.
Login →

COVID-19 VACCINE 2023-2024 Pricing & Reimbursement

91318 Private Payer Reimbursement
$68.08 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

Create an account on PayerPrice for more information →
UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

COVID-19 VACCINE 2023-2024 Vaccine Administration Codes

The below list of CPT codes is intended for informational purposes only and may not be exhaustive. CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved.

CPT Code Description
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), one vaccine (single or combination vaccine/toxoid)
90472 Immunization administration (each additional vaccine or toxoid), when performed in conjunction with primary procedure.

COVID-19 VACCINE 2023-2024 Medically Unlikely Edits (MUE)

The most billing units of 91318 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 0.3 ml.

Practitioner Office & Hospital Outpatient
1 unit / day
= 0.3 ml per day

MAI 2 · Date of Service Edit: Policy. Absolute per-day limit set by policy or regulation; units above it are not payable, and denials are not appealable on medical-necessity grounds. See all MUE limits →

ml Enter a dose to see how many billing units it is and whether it is under the limit.

COVID-19 VACCINE 2023-2024 Clinical Information

Indications and drug classification.

Treated Diseases & Conditions

This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.

COVID-19

Login for BuyandBill.com Analytics

Unlock deeper insights with BuyandBill’s Comparative Report!

  • Compare ASP, WAC, and AWP across drugs.
  • Visualize Drug Price Movement Over Time
  • Tailor reports to drug class, manufacturer, or HCPCS Code.
  • Compare Biosimilar and 505(b)(2) products.

Frequently Asked Questions

Is there a manufacturer-published billing and coding guide for Covid-19 Vaccine 2023-2024?
Our team has not identified a manufacturer-published source of billing and coding information for COVID-19 VACCINE 2023-2024.
Are there any available patient assistance programs for Covid-19 Vaccine 2023-2024?
Our team has not identified a manufacturer-published source of patient assistance information for COVID-19 VACCINE 2023-2024.
Where can I find Covid-19 Vaccine 2023-2024 prescribing information?
Our team has not identified a source of prescribing information for this medication
Is there available side effect information for Covid-19 Vaccine 2023-2024?
Our team has not identified a source of side effect information for Covid-19 Vaccine 2023-2024.
Does billing COVID-19 VACCINE 2023-2024 require JZ/JW wastage modifiers?
CMS does not include COVID-19 VACCINE 2023-2024 (91318) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing 91318. For more information, visit the link below.

About BuyandBill.com:

The BuyandBill.com team is dedicated to delivering high-quality coding and billing information for office-administered drugs. We continuously research HCPCS-coded medications to expand our resources and ensure data accuracy. Manufacturers: click here to sponsor your medication, and we will ensure the most accurate and detailed information is displayed.