How To Use CPT Code 90633

CPT 90633 refers to the administration of the hepatitis A vaccine for pediatric and adolescent patients as part of a two-dose schedule; this article will cover the description, procedure, qualifying circumstances, usage, documentation requirements, billing guidelines, historical information, similar codes, and examples of CPT 90633.

1. What is CPT 90633?

CPT 90633 is a medical billing code used to describe the administration of the hepatitis A vaccine for pediatric and adolescent patients. This code is specifically for the two-dose schedule of the vaccine, which is administered via intramuscular injection. The purpose of this vaccine is to provide immunity against hepatitis A, an infectious disease that affects the liver.

2. 90633 CPT code description

The official description of CPT code 90633 is: “Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use.”

3. Procedure

The 90633 procedure involves the following steps:

1. The patient is appropriately prepped for the vaccine administration.
2. The provider injects the hepatitis A vaccine into the muscle of the upper arm, typically the deltoid muscle.
3. This is the first of two doses necessary to protect the patient against hepatitis A.
4. The provider counsels the patient and/or their family, providing instructions and precautions before and after the administration of the vaccine.

4. Qualifying circumstances

Patients eligible to receive CPT code 90633 services are children and adolescents who require immunization against hepatitis A. This includes:

• Children aged 12 months to 18 years who have not previously received the hepatitis A vaccine.
• Adolescents and young adults who are at increased risk for hepatitis A infection, such as those traveling to countries with high or intermediate hepatitis A endemicity, those with chronic liver disease, or those who engage in high-risk behaviors.
• Patients with a medical condition or other factors that increase their risk for complications from hepatitis A infection.

5. When to use CPT code 90633

It is appropriate to bill the 90633 CPT code when a healthcare provider administers the first dose of the hepatitis A vaccine to a pediatric or adolescent patient as part of a two-dose schedule. This code should be used for each administration of the vaccine, with the second dose typically given six months after the first dose.

6. Documentation requirements

To support a claim for CPT 90633, the following information should be documented:

• Patient’s age and eligibility for the vaccine.
• Date of vaccine administration.
• Specific vaccine product administered, including the manufacturer and lot number.
• Administration route (intramuscular).
• Anatomical site of the injection (e.g., deltoid muscle).
• Provider’s signature or electronic authentication.
• Any counseling or education provided to the patient and/or their family.

7. Billing guidelines

When billing for CPT code 90633, it is important to follow these guidelines:

• Report separate codes for the vaccine administration, the actual vaccine, and an office visit if applicable.
• Include sufficient documentation from the provider explaining the product administered, administration route, and purpose of the vaccine.
• Ensure that the patient’s age and eligibility for the vaccine are clearly documented.
• Verify that the provider’s signature or electronic authentication is present in the documentation.

8. Historical information

CPT 90633 was added to the Current Procedural Terminology system on January 1, 1999. The code was last changed on January 1, 2016, with the previous descriptor being “Hepatitis A vaccine, pediatric/adolescent dosage-2 dose schedule, for intramuscular use.”

9. Similar codes to CPT 90633

There are several other codes related to hepatitis A vaccines that differentiate from CPT 90633:

• CPT 90632: This code is for the adult dosage of the hepatitis A vaccine.
• CPT 90634: This code is for the combined hepatitis A and hepatitis B vaccine for pediatric/adolescent patients.
• CPT 90636: This code is for the combined hepatitis A and hepatitis B vaccine for adult patients.
• CPT 90740: This code is for the hepatitis B vaccine for pediatric/adolescent patients.
• CPT 90744: This code is for the hepatitis B vaccine for adult patients.

10. Examples

Here are 10 detailed examples of CPT code 90633 procedures:

1. A 12-month-old child receiving their first dose of the hepatitis A vaccine during a routine well-child visit.
2. A 15-year-old patient traveling to a country with high hepatitis A endemicity receiving the first dose of the vaccine before their trip.
3. An adolescent with chronic liver disease receiving the first dose of the hepatitis A vaccine as part of their medical management plan.
4. A 10-year-old patient with a history of close personal contact with someone infected with hepatitis A receiving the first dose of the vaccine as a preventive measure.
5. A 16-year-old patient receiving the first dose of the hepatitis A vaccine due to engaging in high-risk behaviors that increase their risk of infection.
6. A 13-year-old patient with a medical condition that increases their risk for complications from hepatitis A infection receiving the first dose of the vaccine.
7. An adolescent receiving the first dose of the hepatitis A vaccine as part of a catch-up immunization schedule.
8. A 17-year-old patient receiving the first dose of the hepatitis A vaccine as part of a school or college immunization requirement.
9. A pediatric patient receiving the first dose of the hepatitis A vaccine during an outbreak of the disease in their community.
10. An adolescent receiving the first dose of the hepatitis A vaccine as part of a public health initiative to increase vaccination rates in their area.