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2025 CPT code 90675

Rabies vaccine, for intramuscular use.

Refer to the most current CPT coding guidelines and ACIP recommendations for accurate reporting of rabies vaccinations.Interim updates for vaccine abbreviations and codes may be published on the AMA website.

Refer to NCCI_edits_code_pairing_rules for limitations.

Medical necessity for 90675 is determined by the risk of rabies transmission following potential exposure. Factors considered include the type of animal involved, the circumstances of the exposure (bite, scratch, etc.), the geographical location, and the animal's rabies vaccination status.

The provider prepares the patient, administers the rabies vaccine intramuscularly (typically in the arm for adults or thigh for children), counsels the patient and/or family, and provides post-administration instructions and precautions.

IMPORTANT For rabies vaccine administered intradermally, use 90676. For human rabies immune globulin (RIg) for intramuscular and/or subcutaneous use, see 90375. For heat-treated human rabies immune globulin (RIg-HT) for intramuscular and/or subcutaneous use, see 90376.

In simple words: This code covers a rabies shot given into a muscle, usually after someone has been exposed to rabies.

This code represents the administration of a rabies vaccine via intramuscular injection.It is typically used in a post-exposure prophylaxis regimen following a potential rabies exposure, such as an animal bite.

Example 1: A patient presents to the emergency room after being bitten by a stray dog. The dog's rabies status is unknown. The physician orders a rabies vaccine series, with the first dose (90675) administered intramuscularly., A veterinarian is bitten by a bat while examining it.Due to the high risk of rabies transmission from bats, the veterinarian receives post-exposure prophylaxis, including the rabies vaccine (90675) administered intramuscularly., A child playing in the woods is scratched by a raccoon. While the raccoon is not captured, the parents and physician decide to proceed with rabies post-exposure prophylaxis, including the intramuscular rabies vaccine (90675) as a precaution.

Documentation should include details about the potential rabies exposure (e.g., animal involved, date and time of incident, wound description), the rabies vaccination status of the animal (if known), the rationale for administering the vaccine, the site and route of administration, and any adverse reactions.

** For children, the preferred injection site is the anterolateral aspect of the thigh. For adults, the deltoid muscle is the preferred site.If a specific vaccine code is unavailable, use the unlisted procedure code until a new code becomes available.

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