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.
ICD-10 requires only one code (Z23) per vaccination, regardless if single or combination. Report Z23 for all vaccination diagnoses.
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.
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.
7 Emergency use of U07. 7 [COVID-19 vaccines causing adverse effects in therapeutic use], and is not a directive that T88. 1 is to be assigned as principal diagnosis in all scenarios where an adverse effect of a COVID-19 vaccination is documented.
ICD-10-CM Description Clinicians may assign code Z28. 311, “Partially vaccinated for COVID-19,” when the patient has received at least one dose of a multi-dose COVID-19 vaccine regimen, but has not received the doses necessary to meet the CDC definition of “fully vaccinated” at the time of the encounter.
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.
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.
2.1 Immunization Series Three doses of Pentacel constitute a primary immunization course against diphtheria, tetanus, H. influenzae type b invasive disease, and poliomyelitis; the fourth dose is a booster for diphtheria, tetanus, H. influenzae type b invasive disease, and poliomyelitis immunizations.
Tetanus and Diphtheria Vaccinations Billing GuidelinesCPT CodeICD-1090715S61011A90471S61011AAug 30, 2018
For immunization administration other than COVID-19, codes 90460–90474 are reported for the administration of the vaccine, along with the appropriate vaccine/toxoid code (90476–90756) targeting the organism.
IIS: NDC Lookup CrosswalkSale NDC11Sale Proprietary NameUse GTIN00006-4133-41Tetanus and Diphtheria Toxoids Adsorbed00006-4171-00ProQuad0030006417101300006-4329-02VAXNEUVANCE00006-4329-03VAXNEUVANCE33 more rows