Code Terminations as the PHE Ends

The Biden Administration will end the COVID-19 public health emergency (PHE) on May 11, 2023.

Certain changes we had put in place during the PHE will go back to pre-COVID-19 coverage on May 12, 2023. In addition, certain codes will no longer be accepted.

COVID-19 Testing

Horizon will not consider the SARS-CoV-2 testing services represented by the HCPCS codes below for reimbursement when testing is performed after May 11, 2023.

U0003
U0004
U0005
G2023
G2024

COVID Vaccinations

Per the AMA's CPT Editorial Panel, effective April 18, 2023, the monovalent Moderna and Pfizer-BioNTech COVID-19 vaccines (represented by the codes below) are no longer authorized for use in the United States.

Horizon will not consider these codes for reimbursement for services rendered on and after April 18, 2023.

0001A
0002A
0003A
0004A
0011A
0012A
0013A
0051A
0052A
0053A
0054A
0064A
0071A
0072A
0073A
0074A
0081A
0082A
0083A
0091A
0092A
0093A
0094A
0111A
0112A
0113A
91300
91301
91305
91306
91307
91308
91309
91311