How To Use CPT Code 90747

CPT 90747 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 90747?

CPT 90747 is used to report the administration of the Hepatitis B vaccine to patients who are immunosuppressed or undergoing dialysis. This vaccine is given intramuscularly and is part of a four-dose schedule. It is designed to protect individuals from contracting Hepatitis B, a liver disease caused by the Hepatitis B virus (HBV).

2. Official Description

The official description of CPT code 90747 is: ‘Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 4 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 administration follows a four-dose schedule, with each dose given at the appropriate intervals.
4. The procedure is performed specifically for patients who are immunosuppressed or undergoing dialysis.

4. Qualifying circumstances

CPT 90747 is used for patients who are immunosuppressed or undergoing dialysis. Immunosuppressed patients have a reduced ability to resist infections, while dialysis is a process that removes waste products from the blood in patients with kidney failure. The vaccine is administered to reduce the risk of contracting Hepatitis B in these vulnerable populations.

5. When to use CPT code 90747

CPT code 90747 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 before reporting this code. If the patient does not fall into these categories, a different code should be used to report the vaccine administration.

6. Documentation requirements

To support a claim for CPT 90747, 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 90747, ensure that the vaccine is administered to patients who are immunosuppressed or undergoing dialysis. It is important to report the administration of the vaccine separately from the vaccine product itself. Follow the appropriate coding guidelines and modifiers when reporting this code. Take care to choose the correct code for the Hepatitis B vaccine supply.

8. Historical information

CPT 90747 was added to the Current Procedural Terminology system on January 1, 1996. There have been changes to the code description over the years, with the most recent change occurring on January 1, 2016.

9. Examples

1. A healthcare provider administers the Hepatitis B vaccine to an immunosuppressed patient as part of the four-dose schedule.
2. A patient undergoing dialysis receives the Hepatitis B vaccine intramuscularly.
3. A healthcare provider administers the first dose of the Hepatitis B vaccine to an immunosuppressed patient, following the recommended schedule.
4. An immunosuppressed patient receives the final dose of the Hepatitis B vaccine as part of the four-dose schedule.
5. A healthcare provider administers the Hepatitis B vaccine to a patient undergoing dialysis, ensuring the proper route of administration.
6. An immunosuppressed patient receives the second dose of the Hepatitis B vaccine, following the recommended schedule.
7. A healthcare provider administers the Hepatitis B vaccine to a patient undergoing dialysis, documenting the date and route of administration.
8. An immunosuppressed patient receives the third dose of the Hepatitis B vaccine, completing the four-dose schedule.
9. A healthcare provider administers the Hepatitis B vaccine to a patient undergoing dialysis, ensuring accurate documentation of the procedure.
10. An immunosuppressed patient receives a booster dose of the Hepatitis B vaccine, following the recommended schedule.