2025 CPT code 90747
(Active) Effective Date: N/A Revision Date: N/A Medicine - Vaccines, Toxoids Medicine Services and Procedures Feed
Hepatitis B vaccine for dialysis or immunosuppressed patients; 4-dose schedule, intramuscular use.
Modifiers may apply depending on the circumstances of the service. Consult the CPT manual for guidance on appropriate modifier usage.
Medical necessity is established by the patient's condition, either being on dialysis or having a compromised immune system, requiring the administration of a hepatitis B vaccine specifically formulated for these patient populations.
The physician or qualified healthcare professional is responsible for determining the patient's eligibility for this specific vaccine based on their immunosuppressed state or dialysis treatment. They also administer the vaccine intramuscularly, following the recommended four-dose schedule, and document the administration and patient response.
In simple words: This code covers a special type of hepatitis B vaccine given as four shots. It's for people on dialysis or with weak immune systems.
This CPT code, 90747, represents the supply of a hepatitis B vaccine specifically formulated for patients undergoing dialysis or those with compromised immune systems.The vaccine is administered intramuscularly and follows a four-dose schedule.This code is distinct from other hepatitis B vaccine codes and should only be used when the patient meets the specified criteria.
Example 1: A 60-year-old male patient on hemodialysis receives his second dose of the hepatitis B vaccine (90747) as part of a four-dose series.The physician documents the administration, the patient's response, and the patient's dialysis status., A 35-year-old female patient with HIV and a compromised immune system receives her first dose of the hepatitis B vaccine (90747). The physician orders the appropriate vaccine, monitors for adverse reactions and documents these findings, including the patient's HIV status., A 45-year-old patient receiving a kidney transplant receives the first dose of the Hepatitis B vaccine (90747) post-transplant. The physician carefully monitors for adverse reactions, noting the immunocompromised status of the patient.
* Patient's medical record indicating the need for the vaccine due to dialysis or immunosuppression.* Documentation of the vaccine administration, including date, route (intramuscular), dosage, and lot number.* Documentation of any adverse reactions or complications following the vaccine.* Appropriate informed consent.
** This vaccine is specifically designed for patients who are immunocompromised or undergoing dialysis.It is important to confirm the patient meets these criteria before using this code.The four-dose schedule might differ based on the patient's specific health situation; always refer to the most current guidelines from relevant public health agencies and medical societies.
- Payment Status: Active
- Modifier TC rule: The technical component (TC) modifier is not applicable to this code as it represents the supply of the vaccine.
- Specialties:Infectious Disease, Nephrology, Immunology, Hepatology
- Place of Service:Office, Hospital (Inpatient or Outpatient), Dialysis Center