How To Use CPT Code 90648

CPT 90648 describes the administration of the Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, as part of a four-dose schedule. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 90648?

CPT 90648 is used to report the administration of the Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate. This vaccine is given to protect against Haemophilus influenzae type b, a bacteria that causes meningitis. The vaccine is administered into a muscle as part of a four-dose schedule.

2. Official Description

The official description of CPT code 90648 is: ‘Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular use.’

3. Procedure

1. The healthcare provider prepares the patient for the administration of the Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate.
2. The provider administers the vaccine into a muscle, following the recommended four-dose schedule.
3. Before administering the vaccine, the provider counsels the patient and/or their family, providing instructions and precautions.

4. Qualifying circumstances

CPT 90648 is used for patients who require protection against Haemophilus influenzae type b, a bacteria that causes meningitis. The vaccine is administered as part of a four-dose schedule. The patient may be of any age, as long as they meet the criteria for receiving the vaccine.

5. When to use CPT code 90648

CPT code 90648 should be used when the healthcare provider administers the Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, as part of a four-dose schedule. It is important to follow the recommended schedule to ensure the patient receives the full benefit of the vaccine.

6. Documentation requirements

To support a claim for CPT 90648, the healthcare provider must document the following information:

• Administration of the Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate
• Date of administration
• Route of administration (intramuscular)
• Number of doses administered (part of a four-dose schedule)
• Counseling provided to the patient and/or their family

7. Billing guidelines

When billing for CPT 90648, ensure that the administration of the vaccine follows the recommended four-dose schedule. It is important to document the counseling provided to the patient and/or their family. Report separate codes for vaccine administration, the actual vaccine, and any associated office visit. Be sure to include sufficient documentation to support the administration of the vaccine.

8. Historical information

CPT 90648 was added to the Current Procedural Terminology system on January 1, 1999. There have been two code changes since its addition, with the most recent change occurring on January 1, 2016.

9. Examples

1. A healthcare provider administers the Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, to a 6-month-old infant as part of a four-dose schedule.
2. A nurse administers the Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, to a 2-year-old child as part of a four-dose schedule.
3. A pediatrician administers the Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, to a 4-year-old as part of a four-dose schedule.
4. A family medicine physician administers the Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, to a 65-year-old adult as part of a four-dose schedule.
5. A healthcare provider administers the Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, to a 12-month-old toddler as part of a four-dose schedule.
6. A nurse administers the Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, to a 3-year-old child as part of a four-dose schedule.
7. A pediatrician administers the Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, to a 5-year-old as part of a four-dose schedule.
8. A family medicine physician administers the Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, to a 70-year-old adult as part of a four-dose schedule.
9. A healthcare provider administers the Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, to a 9-month-old infant as part of a four-dose schedule.
10. A nurse administers the Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, to a 1-year-old child as part of a four-dose schedule.