Clinical Context
A healthy adolescent or young adult presents to a primary care clinic or public health immunization site for routine vaccination prior to travel, school entry, or military enlistment. The clinical workflow includes verification of immunization history, screening for contraindications (severe allergic reaction to prior meningococcal vaccine or vaccine component), informed consent, documentation of date/site/lot/manufacturer, and administration of the quadrivalent meningococcal polysaccharide vaccine subcutaneously. Observation for immediate adverse reaction (typically 15 minutes) follows, with provision of vaccine information statement and scheduling of follow-up doses if indicated. Billing is submitted using 90733 for the vaccine administration; the typical site of service is an outpatient clinic, public health clinic, or travel clinic.
Related CPT Codes
| CPT Code | Description | Relationship to This Procedure |
|---|
90460 | Immunization administration through 18 years of age via any route, with counseling by physician or other qualified health care professional; first or only component of each vaccine or toxoid administered | Used when vaccine administration includes counseling and patient is pediatric; may be billed alongside 90733 for documentation of counseling when payer allows |
| 90461 | Each additional vaccine/toxoid component administered (List separately in addition to code for primary vaccine) | Billed when multiple vaccines are given during same visit in addition to the quadrivalent meningococcal vaccine
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular) when no counseling is provided (older adults/others) | Alternative administration code for vaccine administration when counseling is not separately reported
| 90472 | Each additional vaccine administered (List separately in addition to code for primary vaccine) | Used for additional vaccines administered during same encounter
| 90734 | Meningococcal conjugate vaccine, serogroup A, C, W and Y (MenACWY), 10 mcg/0.5 mL or other specified formulations — intramuscular or subcutaneous as specified by product | Alternative meningococcal vaccine product code (conjugate formulation) that may be selected based on product used; relates as an alternative to 90733
| 99070 | Supplies and materials provided by the physician over and above those usually included with the service, e.g., surgical supplies, etc. | May be used when billing for additional non-routine supplies associated with vaccine administration if payer policy allows