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The CPT® Code 90734 refers to a specific type of meningococcal conjugate vaccine designed to protect against meningococcal disease caused by the bacterium Neisseria meningitides. This vaccine is a quadrivalent formulation, meaning it targets four distinct serogroups: A, C, W, and Y. The vaccine utilizes either diphtheria toxoid (MenACWY-D) or a mutant form of diphtheria toxin known as CRM197 (MenACWY-CRM) as a carrier protein to enhance the immune response. Meningococcal disease can lead to severe health complications, including septicemia and meningitis, and is transmitted through respiratory secretions. The vaccine works by introducing capsular polysaccharide antigens from each of the four serogroups, which are conjugated to the carrier protein. This process stimulates the immune system to produce antibodies that recognize and combat these pathogens. Notably, MenACWY-CRM is approved for use in infants aged 2 to 8 months, particularly for those at increased risk of meningococcal disease, while MenACWY-D is indicated for children aged 9 to 12 months. It is important to note that this code specifically accounts for the supply of the vaccine itself; the administration of the vaccine via intramuscular injection is reported separately.
© Copyright 2025 Coding Ahead. All rights reserved.
The meningococcal conjugate vaccine, represented by CPT® Code 90734, is indicated for the prevention of meningococcal disease caused by serogroups A, C, W, and Y. This vaccine is particularly recommended for individuals at increased risk of contracting meningococcal disease, including:
The administration of the meningococcal conjugate vaccine involves several key procedural steps, which are outlined as follows:
Following the administration of the meningococcal conjugate vaccine, patients may experience mild side effects such as soreness at the injection site, low-grade fever, or fatigue. These effects are generally short-lived and resolve without intervention. It is essential to provide patients with information regarding these potential reactions and to advise them to seek medical attention if they experience any severe or unusual symptoms. Additionally, healthcare providers should ensure that patients understand the importance of completing the vaccination series as recommended to achieve optimal protection against meningococcal disease.
| Short Descr | MENACWYD/MENACWYCRM VACC IM | Medium Descr | MENACWYD/MENACWY-CRM CONJ VACC GRPS ACWY IM USE | Long Descr | Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, diphtheria toxoid carrier (MenACWY-D) or CRM197 carrier (MenACWY-CRM), 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 Not Billable to the MAC | Type of Service (TOS) | 1 - Medical Care | Berenson-Eggers TOS (BETOS) | T2D - Other tests - other | MUE | 1 | CCS Clinical Classification | 228 - Prophylactic vaccinations and inoculations |
| 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 | 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. | 95 | Synchronous telemedicine service rendered via a real-time interactive audio and video telecommunications system: synchronous telemedicine service is defined as a real-time interaction between a physician or other qualified health care professional and a patient who is located at a distant site from the physician or other qualified health care professional. the totality of the communication of information exchanged between the physician or other qualified health care professional and the patient during the course of the synchronous telemedicine service must be of an amount and nature that would be sufficient to meet the key components and/or requirements of the same service when rendered via a face-to-face interaction. modifier 95 may only be appended to the services listed in appendix p. appendix p is the list of cpt codes for services that are typically performed face-to-face, but may be rendered via a real-time (synchronous) interactive audio and video telecommunications system. | AH | Clinical psychologist | AT | Acute treatment (this modifier should be used when reporting service 98940, 98941, 98942) | CC | Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed) | CR | Catastrophe/disaster related | FQ | The service was furnished using audio-only communication technology | 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 | GV | Attending physician not employed or paid under arrangement by the patient's hospice provider | GW | Service not related to the hospice patient's terminal condition | GX | Notice of liability issued, voluntary under payer policy | 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) | X1 | Continuous/broad services: for reporting services by clinicians, who provide the principal care for a patient, with no planned endpoint of the relationship; services in this category represent comprehensive care, dealing with the entire scope of patient problems, either directly or in a care coordination role; reporting clinician service examples include, but are not limited to: primary care, and clinicians providing comprehensive care to patients in addition to specialty care |
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| 2020-01-01 | Changed | First appearance of change in code book. |
| 2019-07-01 | Changed | Code description changed. |
| 2019-01-01 | Changed | Code description changed. |
| 2017-01-01 | Changed | Long, Medium and Short descriptions changed. |
| 2016-01-01 | Changed | First appearance of change in codebook. |
| 2015-07-01 | Changed | Description Changed |
| 2015-01-01 | Changed | Description Changed |
| 2011-01-01 | Changed | Short description changed. |
| 2004-01-01 | Added | First appearance in code book in 2004. |
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