CCO Admin asked:
Tetanus toxoid; given IM given in E.D. patient came in for a leg laceration and physician administers a tetanus toxoid; IM.
How do we code the administration and the tetanus vaccine..theres a few codes for tetanus; some with diptheria . Which are the right codes.
Is it 99741 and 90714? Or
96372? 99715?
Pls advise. Thanks.
Answer:
Toxoids provide long lasting immunity by stimulating the bodys own defense system to make antibodies that destroy specific toxins produced by bacteria. Vaccines also provide active; long-term immunity by exposing the recipients immune system to altered versions of specific viruses or bacteria that induce the immune system to produce its own antibodies against the invading micro-organism. The body then remembers how to make antibodies when exposed to these same agents again. The toxoid vaccine is an inactivated poison; called a toxin; produced by culturing the bacteria in a liquid medium; then purifying and inactivating the poison produced by the bacteria. Since toxoids are not a live vaccine; booster doses are recommended because immunity will decline over time. These tetanus toxoid combinations are formulations for adults and those over 7 years of age; given by intramuscular injection. Code [90715](https://www.findacode.com/code.php?set=CPT&c=90715) reports supply of tetanus toxoid
combined with diphtheria toxoid and acellular pertussis vaccine (Tdap). The acellular pertussis component is a synthetic; or more purified form of pertussis; that produces fewer side effects. Code [90714](https://www.findacode.com/code.php?set=CPT&c=90714) reports preservative free tetanus and diphtheria toxoids (Td) adsorbed. These codes report only the product (toxoid/vaccine) used. Code [90717](https://www.findacode.com/code.php?set=CPT&c=90717) is the subcutaneous use vaccine against yellow fever; more commonly used when traveling abroad; especially to South America and sub-Saharan Africa; code [90716](https://www.findacode.com/code.php?set=CPT&c=90716) reports the subcutaneous use vaccine against the varicella virus (VAR).
96372 - Therapeutic; prophylactic; or diagnostic injection (specify substance or drug); subcutaneous or intramuscular
AMA Guidelines:
> (For administration of vaccines/toxoids; see [90460](https://www.findacode.com/code.php?set=CPT&c=90460); [90461](https://www.findacode.com/code.php?set=CPT&c=90461); [90471](https://www.findacode.com/code.php?set=CPT&c=90471); [90472](https://www.findacode.com/code.php?set=CPT&c=90472))
>
> (Report [96372](https://www.findacode.com/code.php?set=CPT&c=96372) for non-antineoplastic hormonal therapy injections)
>
> (Report [96401](https://www.findacode.com/code.php?set=CPT&c=96401) for anti-neoplastic nonhormonal injection therapy)
>
> (Report [96402](https://www.findacode.com/code.php?set=CPT&c=96402) for anti-neoplastic hormonal injection therapy)
>
> (Do not report [96372](https://www.findacode.com/code.php?set=CPT&c=96372) for injections given without direct physician or other qualified health care professional supervision. To report; use [99211](https://www.findacode.com/code.php?set=CPT&c=99211). Hospitals may report [96372](https://www.findacode.com/code.php?set=CPT&c=96372) when the physician or other qualified health care professional is not present)
>
> ([96372](https://www.findacode.com/code.php?set=CPT&c=96372) does not include injections for allergen immunotherapy. For allergen immunotherapy injections; see [95115](https://www.findacode.com/code.php?set=CPT&c=95115)-[95117](https://www.findacode.com/code.php?set=CPT&c=95117))
Tetanus toxoid; given IM given in E.D. patient came in for a leg laceration and physician administers a tetanus toxoid; IM.
How do we code the administration and the tetanus vaccine..theres a few codes for tetanus; some with diptheria . Which are the right codes.
Is it 99741 and 90714? Or
96372? 99715?
Pls advise. Thanks.
Answer:
Toxoids provide long lasting immunity by stimulating the bodys own defense system to make antibodies that destroy specific toxins produced by bacteria. Vaccines also provide active; long-term immunity by exposing the recipients immune system to altered versions of specific viruses or bacteria that induce the immune system to produce its own antibodies against the invading micro-organism. The body then remembers how to make antibodies when exposed to these same agents again. The toxoid vaccine is an inactivated poison; called a toxin; produced by culturing the bacteria in a liquid medium; then purifying and inactivating the poison produced by the bacteria. Since toxoids are not a live vaccine; booster doses are recommended because immunity will decline over time. These tetanus toxoid combinations are formulations for adults and those over 7 years of age; given by intramuscular injection. Code [90715](https://www.findacode.com/code.php?set=CPT&c=90715) reports supply of tetanus toxoid
combined with diphtheria toxoid and acellular pertussis vaccine (Tdap). The acellular pertussis component is a synthetic; or more purified form of pertussis; that produces fewer side effects. Code [90714](https://www.findacode.com/code.php?set=CPT&c=90714) reports preservative free tetanus and diphtheria toxoids (Td) adsorbed. These codes report only the product (toxoid/vaccine) used. Code [90717](https://www.findacode.com/code.php?set=CPT&c=90717) is the subcutaneous use vaccine against yellow fever; more commonly used when traveling abroad; especially to South America and sub-Saharan Africa; code [90716](https://www.findacode.com/code.php?set=CPT&c=90716) reports the subcutaneous use vaccine against the varicella virus (VAR).
96372 - Therapeutic; prophylactic; or diagnostic injection (specify substance or drug); subcutaneous or intramuscular
AMA Guidelines:
> (For administration of vaccines/toxoids; see [90460](https://www.findacode.com/code.php?set=CPT&c=90460); [90461](https://www.findacode.com/code.php?set=CPT&c=90461); [90471](https://www.findacode.com/code.php?set=CPT&c=90471); [90472](https://www.findacode.com/code.php?set=CPT&c=90472))
>
> (Report [96372](https://www.findacode.com/code.php?set=CPT&c=96372) for non-antineoplastic hormonal therapy injections)
>
> (Report [96401](https://www.findacode.com/code.php?set=CPT&c=96401) for anti-neoplastic nonhormonal injection therapy)
>
> (Report [96402](https://www.findacode.com/code.php?set=CPT&c=96402) for anti-neoplastic hormonal injection therapy)
>
> (Do not report [96372](https://www.findacode.com/code.php?set=CPT&c=96372) for injections given without direct physician or other qualified health care professional supervision. To report; use [99211](https://www.findacode.com/code.php?set=CPT&c=99211). Hospitals may report [96372](https://www.findacode.com/code.php?set=CPT&c=96372) when the physician or other qualified health care professional is not present)
>
> ([96372](https://www.findacode.com/code.php?set=CPT&c=96372) does not include injections for allergen immunotherapy. For allergen immunotherapy injections; see [95115](https://www.findacode.com/code.php?set=CPT&c=95115)-[95117](https://www.findacode.com/code.php?set=CPT&c=95117))
Last edited: