How To Use CPT Code 90740

CPT 90740 describes the administration of the Hepatitis B vaccine for patients who are immunosuppressed or undergoing dialysis. 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 90740?

CPT 90740 represents the administration of the Hepatitis B vaccine for patients who are immunosuppressed or undergoing dialysis. This vaccine is given intramuscularly and is designed to protect against the liver disease Hepatitis B. It is important to note that this code only represents the vaccine product and a separate code should be used for vaccine administration.

2. Official Description

The official description of CPT code 90740 is: ‘Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use.’

3. Procedure

1. The healthcare provider administers the Hepatitis B vaccine to the patient.
2. The vaccine is given intramuscularly, meaning it is injected into the muscle.
3. The dosage follows a three-dose schedule, with each dose given at the appropriate intervals.
4. The vaccine is specifically intended for patients who are immunosuppressed or undergoing dialysis.

4. Qualifying circumstances

CPT 90740 is used for patients who are immunosuppressed or undergoing dialysis. Immunosuppressed patients have a reduced ability to resist infection, while dialysis is a process that removes waste products from the blood in patients with kidney failure. The vaccine is administered to reduce the patient’s risk of contracting Hepatitis B.

5. When to use CPT code 90740

CPT code 90740 should be used when administering the Hepatitis B vaccine to patients who are immunosuppressed or undergoing dialysis. It is important to ensure that the patient meets the qualifying circumstances for this code before using it for billing purposes.

6. Documentation requirements

To support a claim for CPT 90740, the healthcare provider must document the following information:

• Patient’s immunosuppressed status or dialysis treatment
• Date of vaccine administration
• Route of administration (intramuscular)
• Number of doses administered and the schedule followed
• Signature of the healthcare provider administering the vaccine

7. Billing guidelines

When billing for CPT 90740, ensure that the vaccine is administered to patients who are immunosuppressed or undergoing dialysis. Report a separate code for vaccine administration. Take care to choose the correct code for the Hepatitis B vaccine supply. It is important to follow the specific guidelines provided by the payer when reporting this code.

8. Historical information

CPT 90740 was added to the Current Procedural Terminology system on January 1, 2001. The code was later changed on January 1, 2016 to its current description.

9. Examples

1. A healthcare provider administers the Hepatitis B vaccine to an immunosuppressed patient who is undergoing dialysis.
2. A nurse administers the Hepatitis B vaccine to a patient who is immunosuppressed due to a recent organ transplant.
3. A physician administers the Hepatitis B vaccine to a patient who is undergoing dialysis for kidney failure.
4. A healthcare provider administers the Hepatitis B vaccine to a patient who is immunosuppressed due to a medical condition.
5. A nurse administers the Hepatitis B vaccine to a patient who is undergoing dialysis as part of their treatment for kidney disease.
6. A physician administers the Hepatitis B vaccine to a patient who is immunosuppressed following a bone marrow transplant.
7. A healthcare provider administers the Hepatitis B vaccine to a patient who is undergoing dialysis for end-stage renal disease.
8. A nurse administers the Hepatitis B vaccine to a patient who is immunosuppressed due to a medication regimen.
9. A physician administers the Hepatitis B vaccine to a patient who is undergoing dialysis as a result of chronic kidney disease.
10. A healthcare provider administers the Hepatitis B vaccine to a patient who is immunosuppressed following an organ transplant.