How To Use CPT Code 90746

CPT 90746 describes the administration of the Hepatitis B vaccine for adults, using a three-dose schedule and delivered via intramuscular injection. 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 90746?

CPT 90746 is used to report the administration of the Hepatitis B vaccine for adults. This vaccine is given to reduce the risk of contracting Hepatitis B, a liver disease caused by the Hepatitis B virus (HBV). The vaccine is administered using a three-dose schedule and is delivered via intramuscular injection.

2. Official Description

The official description of CPT code 90746 is: ‘Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use.’

3. Procedure

1. The healthcare provider selects the appropriate Hepatitis B vaccine for adults.
2. The vaccine is administered to the patient using an intramuscular injection.
3. The vaccination follows a three-dose schedule, with each dose given at specific intervals.
4. The healthcare provider ensures proper documentation of the vaccine administration, including the date, time, and dosage.
5. Additional doses are scheduled as per the recommended schedule to complete the three-dose series.

4. Qualifying circumstances

CPT 90746 is used for the administration of the Hepatitis B vaccine to adults. It is important to note that this code is specific to the adult dosage and three-dose schedule. The vaccine is administered to reduce the patient’s risk of contracting Hepatitis B. The route of administration is intramuscular, meaning the vaccine is injected into the muscle.

5. When to use CPT code 90746

CPT code 90746 should be used when administering the Hepatitis B vaccine to adults using the recommended three-dose schedule. It is important to ensure that the vaccine is administered via intramuscular injection and that the appropriate dosage is given. This code should not be used for other vaccines or different dosage schedules.

6. Documentation requirements

To support a claim for CPT 90746, the healthcare provider must document the following information:

• Date of vaccine administration
• Time of vaccine administration
• Dosage of the vaccine administered
• Route of administration (intramuscular)
• Signature of the healthcare provider administering the vaccine

7. Billing guidelines

When billing for CPT 90746, ensure that the vaccine administered is specifically for Hepatitis B and that it follows the adult dosage and three-dose schedule. It is important to report the administration of the vaccine separately from the vaccine product itself. Take care to choose the correct code for the vaccine supply. It is also important to follow any specific guidelines provided by the payer regarding the billing of vaccines.

8. Historical information

CPT 90746 was added to the Current Procedural Terminology system on January 1, 1996. There have been several changes to the code over the years, including updates to the description and dosage schedule. The most recent change occurred on January 1, 2016, when the code description was modified to its current form.

9. Examples

1. A healthcare provider administers the Hepatitis B vaccine to an adult patient following the recommended three-dose schedule.
2. A nurse delivers the Hepatitis B vaccine via intramuscular injection to an adult patient, ensuring proper documentation of the administration.
3. A physician administers the second dose of the Hepatitis B vaccine to an adult patient, following the recommended schedule.
4. A healthcare provider completes the three-dose series of the Hepatitis B vaccine for an adult patient, documenting each administration.
5. A nurse administers the Hepatitis B vaccine to an adult patient, ensuring compliance with the recommended dosage and schedule.
6. A healthcare provider administers the first dose of the Hepatitis B vaccine to an adult patient, explaining the importance of completing the three-dose series.
7. A physician administers the Hepatitis B vaccine to an adult patient, ensuring proper technique and documentation.
8. A nurse administers the third and final dose of the Hepatitis B vaccine to an adult patient, completing the three-dose series.
9. A healthcare provider administers the Hepatitis B vaccine to an adult patient, following the recommended dosage and schedule.
10. A nurse delivers the Hepatitis B vaccine via intramuscular injection to an adult patient, documenting the administration and providing educational information.