CPT®a Code 90698 should be assigned on all claims for Pentacel vaccine. Primary code (first vaccine or toxoid component) - Immunization administration through 18 years of age via any route of administration, with counseling by physician or other qualified health care professional.
Pentacel is a multi-vaccine consisting of Diphtheria and Tetanus Toxoids and Acellular Pertussis Adsorbed and Inactivated Poliovirus (DTaP-IPV) component as well as an ActHIB® vaccine component.
Pentacel is a combination vaccine that contains DTaP, IPV and Hib vaccines. Pentacel is supplied as single-dose vials, 5 doses to a package. A single-dose vial of liquid DTaP-IPV vaccine is used to reconstitute a single-dose vial of lyophilized ActHIB vaccine.
90700 diphtheria, tetanus toxoids, acellular pertussis vaccine (DtaP), when administered to individuals younger than 7 years, for intramuscular use. 90707 Measles, mumps, and rubella vaccine (MMR), live, for subcutaneous use.
What Is Pentacel? Pentacel (tetanus toxoid conjugate) Diphtheria, Haemophilus Influenzae, Pertussis, Tetanus, and Polio Vaccine is used to prevent these diseases in children ages 6 weeks to 4 years.
Pentacel is approved for use as a four dose series in children 6 weeks through 4 years of age (prior to fifth birthday). Pentacel is to be administered as a 4 dose series at 2, 4, 6 and 15-18 months of age. The first dose may be given as early as 6 weeks of age.
Pentacel is known in the UK and Canada as Pediacel. An equivalent vaccine marketed in the UK and Canada by GlaxoSmithKline is Infanrix IPV + Hib. This is a two-part vaccine. The DTaP-IPV component is supplied as a sterile liquid, which is used to reconstitute lyophilized (freeze-dried) Hib vaccine.
PENTACEL® vaccine is approved for administration as 4-dose series routinely given at 2, 4, and 6 months, and 15 through 18 months of age. The first dose may be give as early as 6 weeks of age. Four doses of PENTACEL® vaccine constitute a primary immunization course against pertussis.
Pentacel (DTaP-IPV/Hib, Sanofi Pasteur) contains Hib conjugate, DTaP and inactivated polio vaccines and is approved for infants at age 2, 4, 6, and 15 through 18 months of age.
Tetanus and Diphtheria Vaccinations Billing GuidelinesCPT CodeICD-1090715S61011A90471S61011AAug 30, 2018
Report codes 90471-90474 for immunization administration of any vaccine that is not accompanied by face-to-face physician or other qualified health care professional counseling the patient and/or family, or for patients over 18 years of age.
Code 90460 is reported once for the first component of each vaccine or toxoid administered by any route. The reporting of code 90460 includes counseling for the first vaccine component. Code 90461 is additionally reported for the counseling associated with each additional component of any combination vaccine or toxoid.