CPT® Code 90676

1. Indications

The rabies vaccine, coded as CPT® 90676, is indicated for individuals who may be at risk of exposure to the rabies virus. This includes, but is not limited to, the following scenarios:

• 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 via the intradermal route involves several key procedural steps:

• Step 1: The healthcare provider prepares the vaccine by ensuring that it is stored correctly and is at the appropriate temperature for administration. The vial is inspected for any particulate matter or discoloration before use.
• Step 2: The provider selects an appropriate site for intradermal injection, typically on the forearm, and cleans the area with an antiseptic solution to minimize the risk of infection.
• Step 3: Using a fine-gauge needle, the provider injects a small amount of the rabies vaccine into the dermal layer of the skin, creating a small wheal or bump. This technique is crucial for ensuring the vaccine is delivered effectively to stimulate the immune response.
• Step 4: After the injection, the provider observes the site for any immediate adverse reactions and provides the patient with post-injection care instructions, including signs of potential side effects.

3. Post-Procedure

Following the administration of the rabies vaccine, patients are typically monitored for a short period to observe for any immediate allergic reactions or side effects. It is important to inform patients about potential mild side effects, such as redness, swelling, or itching at the injection site. Patients should also be advised to seek medical attention if they experience more severe reactions. Additionally, the healthcare provider may schedule follow-up appointments to ensure the completion of the vaccination series, if applicable, and to assess the patient's immune response to the vaccine.