Code Terminations as the PHE Ends

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

Certain changes we had put in place during the PHE will go back to pre-COVID-19 coverage onMay 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 afterMay 11, 2023.

  • U0003
  • U0004
  • U0005
  • G2023
  • G2024

COVID Vaccinations

Per the AMA's CPT Editorial Panel, effectiveApril 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 afterApril 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