How To Use CPT Code 90733

CPT 90733 describes the administration of a quadrivalent meningococcal polysaccharide vaccine subcutaneously to protect against four strains of the bacteria that cause meningitis. 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 90733?

CPT 90733 can be used to describe the administration of a quadrivalent meningococcal polysaccharide vaccine subcutaneously. This vaccine is designed to protect against four strains of the bacteria that cause meningitis. The vaccine is typically administered to patients who are at least 2 years old.

2. Official Description

The official description of CPT code 90733 is: ‘Meningococcal polysaccharide vaccine, serogroups A, C, Y, W-135, quadrivalent (MPSV4), for subcutaneous use.’

3. Procedure

1. The healthcare provider presents the options for immunization with a meningococcal polysaccharide vaccine to the parent, guardian, or patient.
2. The risks, benefits, and potential side effects of the vaccine are reviewed with the patient or their representative.
3. The patient is appropriately prepped for the vaccine administration.
4. The provider administers the quadrivalent meningococcal polysaccharide vaccine subcutaneously.

4. Qualifying circumstances

CPT 90733 is typically used for patients who require protection against serogroups A, C, Y, and W-135 of the bacteria that cause meningitis. The vaccine is administered to patients who are at least 2 years old.

5. When to use CPT code 90733

CPT code 90733 should be used when a healthcare provider administers the quadrivalent meningococcal polysaccharide vaccine subcutaneously to a patient. It is important to ensure that the patient meets the qualifying circumstances for receiving the vaccine, such as the appropriate age and the need for protection against the specific serogroups.

6. Documentation requirements

To support a claim for CPT 90733, the healthcare provider must document the following information:

• The product administered, which is the quadrivalent meningococcal polysaccharide vaccine
• The administration route, which is subcutaneous
• The purpose of the vaccine, which is to protect against meningitis caused by serogroups A, C, Y, and W-135

7. Billing guidelines

When billing for CPT 90733, ensure that the vaccine is administered subcutaneously and that the patient meets the qualifying circumstances for receiving the vaccine. It is important to follow the specific guidelines of each insurance company and Medicare for reporting vaccines and associated evaluation and management (E/M) codes. Modifier 25 may be required for certain situations, so it is important to check with individual payers for their specific guidelines.

8. Historical information

CPT 90733 was added to the Current Procedural Terminology system on January 1, 1990. There have been a few historical changes to the code, including updates to the code description and the addition of subcutaneous or jet injection use.

9. Examples

1. A healthcare provider administers the quadrivalent meningococcal polysaccharide vaccine subcutaneously to a 15-year-old patient to protect against serogroups A, C, Y, and W-135.
2. A nurse administers the vaccine to a college student who will be living in a dormitory, as part of the university’s immunization requirements.
3. A pediatrician administers the vaccine to a 2-year-old child who will be attending daycare.
4. A healthcare provider administers the vaccine to a patient who will be traveling to an area with a high risk of meningococcal disease.
5. A pharmacist administers the vaccine to a patient who is planning to attend a music festival with a large crowd.
6. A healthcare provider administers the vaccine to a patient with a compromised immune system who is at a higher risk of meningococcal disease.
7. A school nurse administers the vaccine to a group of high school students as part of a vaccination campaign.
8. A healthcare provider administers the vaccine to a patient who will be participating in a military training program.
9. A nurse administers the vaccine to a patient who will be working in a healthcare setting with a higher risk of exposure to meningococcal disease.
10. A healthcare provider administers the vaccine to a patient who will be attending a summer camp.