Coding and Reimbursement

Use the following codes when billing AREXVY:

CPT Code: product 90679
CPT Code: 1 vaccine administered 90471
CPT Code: Additional vaccine administered during same encounter 90472
ICD-10-CM Code Z23
MVX Code SKB
CVX Code 303
NDC: 10-dose carton 58160-848-11

AREXVY has 3 different lot and NDC numbers corresponding to the carton, the lyophilized antigen component, and the adjuvant suspension component. When recording the lot or NDC number for a vaccine, CDC guidance states that providers may capture the lot or NDC number on either the unit of sale OR the lyophilized component of vaccines which require reconstitution such as AREXVY, depending on their established clinical workflow.1

For billing purposes, GSK recommends using the outer carton NDC number.

For payers who require NDCs in an 11-digit format, please use: 58160-0848-11

CPT=Current Procedural Terminology; CVX=vaccine administered; ICD-10-CM=International Classification of Diseases, 10th Revision, Clinical Modification; MVX=Manufacturers of Vaccines; NDC=National Drug Code.

Billing and
Coding Guide

A quick reference when coding for AREXVY

Billing & Coding Guide

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GSK Vaccines Reimbursement Support Center

Visit the center for additional questions about billing, coding, and reimbursement for GSK vaccines.

Phone: 1-855-636-8291 
  Fax: 1-877-683-1329

Monday – Friday 8:00 am – 8:00 pm ET

REIMBURSEMENT SUPPORT CENTER

REIMBURSEMENT
SUPPORT CENTER

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GSK Vaccines Coverage Benefit Verification Site

This site provides support for understanding your patients’ insurance coverage. Healthcare professionals, offices, pharmacies, and systems can use this site to check their individual patient’s medical and pharmacy insurance benefit coverage for AREXVY. In most cases, enrolled users can expect a response to an individual benefit investigation within a minute.

COVERAGE BENEFIT VERIFICATION SITE

COVERAGE BENEFIT
VERIFICATION SITE