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The CPT® Code 90647 refers to the Haemophilus influenzae type b (Hib) vaccine, specifically the PRP-OMP conjugate formulation, which is administered via intramuscular injection. Vaccines, unlike immune globulins that offer short-term, passive immunity, are designed to provide active, long-term immunity. This is achieved by introducing altered versions of specific pathogens, such as viruses or bacteria, into the recipient's body. The immune system then responds by producing its own antibodies, which enables the body to "remember" how to combat the pathogen upon future exposure. Haemophilus influenzae type b is particularly concerning for children under the age of five, as it can lead to severe health complications, including pneumonia, significant swelling of the throat, infections in the joints and bones, and meningitis, which can result in lasting effects such as brain damage and hearing loss. The code 90647 specifically denotes the administration of the PRP-OMP conjugate Hib vaccine following a 3-dose schedule, while code 90648 is designated for the PRP-T conjugate vaccine administered in a 4-dose schedule. It is important to note that these codes are strictly for reporting the vaccine product used in immunization efforts.
© Copyright 2025 Coding Ahead. All rights reserved.
The Haemophilus influenzae type b (Hib) vaccine is indicated for the prevention of serious infections caused by the Hib bacteria, particularly in children under the age of five. The following conditions and symptoms highlight the necessity of vaccination:
The administration of the Haemophilus influenzae type b vaccine (CPT® Code 90647) follows a structured procedure to ensure effective immunization. The steps involved in the vaccination process are as follows:
Following the administration of the Haemophilus influenzae type b vaccine, patients are typically advised to remain in the healthcare setting for a short period to monitor for any immediate adverse reactions. Common post-vaccination care includes advising the patient or guardian to apply a cool compress to the injection site to alleviate any discomfort or swelling. It is also important to inform them about potential mild side effects, such as fever, irritability, or soreness at the injection site, which usually resolve on their own. Patients should be encouraged to complete the full 3-dose schedule to ensure adequate protection against Hib infections. Follow-up appointments should be scheduled to administer subsequent doses as per the recommended immunization schedule.
| Short Descr | HIB PRP-OMP VACC 3 DOSE IM | Medium Descr | HIB PRP-OMP VACCINE 3 DOSE SCHEDULE IM USE | Long Descr | Haemophilus influenzae type b vaccine (Hib), PRP-OMP conjugate, 3 dose schedule, for intramuscular use | Status Code | Excluded from Physician Fee Schedule by Regulation | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 9 - Not Applicable | Multiple Procedures (51) | 9 - Concept does not apply. | Bilateral Surgery (50) | 9 - Concept does not apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 9 - Concept does not apply. | Co-Surgeons (62) | 9 - Concept does not apply. | Team Surgery (66) | 9 - Concept does not apply. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Items and Services Packaged into APC Rates | ASC Payment Indicator | Packaged service/item; no separate payment made. | Type of Service (TOS) | 1 - Medical Care | Berenson-Eggers TOS (BETOS) | O1G - Immunizations/Vaccinations | MUE | 1 | CCS Clinical Classification | 228 - Prophylactic vaccinations and inoculations |
| 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 76 | Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | GA | Waiver of liability statement issued as required by payer policy, individual case | GC | This service has been performed in part by a resident under the direction of a teaching physician | GY | Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit | GZ | Item or service expected to be denied as not reasonable and necessary | JZ | Zero drug amount discarded/not administered to any patient | SK | Member of high risk population (use only with codes for immunization) | SL | State supplied vaccine | UC | Medicaid level of care 12, as defined by each state |
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Notes
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| 2016-01-01 | Changed | First appearance of change in codebook. |
| 2015-07-01 | Changed | Description changed. |
| 2011-01-01 | Changed | Short description changed. |
| 1999-01-01 | Added | First appearance in code book in 1999. |
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