CPT 90651 can be billed if a patient received one of the three doses of the human papillomavirus vaccine intramuscularly.
1. What Is CPT Code 90651?
CPT 90651 covers the administration of nonavalent HPV (Human Papillomavirus Vaccine) intramuscularly.
The human papillomavirus vaccine can be administered in either three doses or two and protects patients from the following types of human papillomavirus: 6, 11, 16, 18, 31, 33, 45, 52, and 58.
The CPT book describes CPT code 90651 as follows: “Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular use.”
The surgeon starts with the 90651 CPT code procedure by counseling the patient and providing precautions and instructions to the patient’s family before administering the vaccine.
After explaining the benefits and risks of HPV, the health provider prepares the site (often the deltoid muscle) before the first dose is injected. Then, they administer the first dose of the human papillomavirus vaccine into the patient’s muscle tissue (intramuscularly).
The second dose of the human papillomavirus vaccine is provided after two months, and the third one after six months after administering the first dose.
The minimum time between the doses is four weeks between the first and second dose and 12 weeks between the second and the third. An interval of at least 24 weeks is required between the first and third doses of this vaccine.
4. Billing Guidelines
The human papillomavirus vaccine protects against nine types of the virus; type 6, 11, 16, 18, 31, 33, 45, 52, and 58.
You can report CPT code 90651 for every injection of the HPV vaccine.
Use CPT code 90650 instead of CPT 90651 for intramuscular administration of the bivalent human papillomavirus vaccine.
CPT code 90649 may be billed instead of CPT 90651 for intramuscular administration of the quadrivalent human papillomavirus vaccine.