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Official Description

Rabies vaccine, for intramuscular use

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

The CPT® Code 90675 refers to the rabies vaccine specifically formulated for intramuscular administration. Vaccines, such as this rabies vaccine, are designed to provide active, long-term immunity by stimulating the recipient's immune system. Unlike immune globulins, which offer short-term, passive immunity, vaccines expose the immune system to altered forms of specific pathogens, such as viruses or bacteria. This exposure prompts the immune system to produce its own antibodies, equipping the body with the ability to recognize and combat the actual pathogen in future encounters. The rabies vaccine is crucial for individuals at risk of rabies exposure, as it helps prevent the onset of this potentially fatal disease. It is important to note that this code specifically reports the vaccine product used for intramuscular administration, distinguishing it from other administration routes, such as intradermal, which is reported under a different code (CPT® Code 90676).

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The rabies vaccine (CPT® Code 90675) is indicated for individuals who are at risk of exposure to the rabies virus. This includes, but is not limited to, the following situations:

  • Post-Exposure Prophylaxis: Individuals who have been bitten or scratched by an animal suspected of being rabid, requiring immediate vaccination to prevent the onset of rabies.
  • Pre-Exposure Prophylaxis: Individuals who are at high risk of rabies exposure, such as veterinarians, animal handlers, and laboratory workers dealing with the rabies virus.

2. Procedure

The administration of the rabies vaccine involves several key procedural steps to ensure proper delivery and effectiveness of the vaccine. Each step is critical for achieving the desired immune response.

  • Step 1: Patient Assessment Before administering the vaccine, a thorough assessment of the patient’s medical history and potential exposure to rabies is conducted. This includes evaluating any recent animal bites or scratches and determining the need for post-exposure or pre-exposure prophylaxis.
  • Step 2: Preparation of the Vaccine The rabies vaccine is prepared according to the manufacturer's instructions. This includes checking the expiration date, ensuring the vaccine is stored at the correct temperature, and shaking the vial gently to mix the contents if necessary.
  • Step 3: Administration of the Vaccine The vaccine is administered intramuscularly, typically in the deltoid muscle of the upper arm for adults and in the anterolateral thigh for infants and young children. The injection site is cleaned with an antiseptic, and the vaccine is injected using a sterile syringe and needle.
  • Step 4: Post-Administration Monitoring After the vaccine is administered, the patient is monitored for a short period to observe for any immediate adverse reactions. This is an important step to ensure patient safety and to provide immediate care if necessary.

3. Post-Procedure

Following the administration of the rabies vaccine, patients are advised on potential side effects, which may include soreness at the injection site, mild fever, or headache. It is important for patients to complete the full vaccination series as recommended, especially in cases of post-exposure prophylaxis, to ensure adequate immunity. Patients should also be instructed to seek medical attention if they experience any severe allergic reactions or unusual symptoms following vaccination. Documentation of the vaccine administration, including the date, lot number, and site of injection, is essential for medical records and future reference.

Short Descr RABIES VACCINE IM
Medium Descr RABIES VACCINE INTRAMUSCULAR
Long Descr Rabies vaccine, for intramuscular use
Related Drugs IMOVAX RABIES
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 Nonpass-Through Drugs and Nonimplantable Biologicals, Including Therapeutic Radiopharmaceuticals
ASC Payment Indicator Drugs and biologicals paid separately when provided integral to a surgical procedure on ASC list; payment based on OPPS rate.
Type of Service (TOS) 1 - Medical Care
Berenson-Eggers TOS (BETOS) O1G - Immunizations/Vaccinations
MUE 1
CCS Clinical Classification 228 - Prophylactic vaccinations and inoculations
AT Acute treatment (this modifier should be used when reporting service 98940, 98941, 98942)
JZ Zero drug amount discarded/not administered to any patient
22 Increased procedural services: when the work required to provide a service is substantially greater than typically required, it may be identified by adding modifier 22 to the usual procedure code. documentation must support the substantial additional work and the reason for the additional work (ie, increased intensity, time, technical difficulty of procedure, severity of patient's condition, physical and mental effort required). note: this modifier should not be appended to an e/m service.
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.
CC Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed)
GA Waiver of liability statement issued as required by payer policy, individual case
GJ "opt out" physician or practitioner emergency or urgent service
GX Notice of liability issued, voluntary under payer policy
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
JG Drug or biological acquired with 340b drug pricing program discount, reported for informational purposes
LT Left side (used to identify procedures performed on the left side of the body)
RT Right side (used to identify procedures performed on the right side of the body)
Date
Action
Notes
2011-01-01 Changed Short description changed.
1999-01-01 Added First appearance in code book in 1999.
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