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The CPT® Code 90738 refers to the Japanese encephalitis virus vaccine, which is an inactivated vaccine intended for intramuscular use. This vaccine is designed to provide long-term immunity against the Japanese encephalitis (JE) virus, a pathogen that can cause serious inflammation of the brain. Unlike immune globulins that offer only temporary, passive immunity, vaccines like this one stimulate the recipient's immune system to recognize and combat the virus by producing its own antibodies. When administered, the vaccine introduces an altered version of the JE virus, prompting the immune system to learn how to respond effectively to future exposures. The JE virus is primarily transmitted through the bites of infected mosquitoes and is prevalent in certain rural areas of Asia, making vaccination crucial for individuals living in or traveling to these regions. It is important to note that this code specifically reports the supply of the vaccine itself and does not include the administration of the intramuscular injection, which is a separate consideration in the billing process.
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The Japanese encephalitis virus vaccine is indicated for individuals who are at risk of exposure to the JE virus, particularly those living in or traveling to endemic areas. The following conditions warrant vaccination:
The administration of the Japanese encephalitis virus vaccine involves several key procedural steps to ensure proper delivery and effectiveness:
Following the administration of the Japanese encephalitis virus vaccine, patients may experience mild side effects, which can include soreness at the injection site, low-grade fever, or fatigue. These symptoms are generally short-lived and resolve without intervention. Patients should be advised to rest and stay hydrated. It is also important to inform them about the signs of a severe allergic reaction, such as difficulty breathing or swelling of the face and throat, and to seek immediate medical attention if these occur. Additionally, patients should be educated on the importance of completing the vaccination series, if applicable, and any follow-up appointments that may be necessary for booster doses or further immunization.
| Short Descr | INACTIVATED JE VACC IM | Medium Descr | JAPANESE ENCEPHALITIS VACCINE INACTIVATED IM | Long Descr | Japanese encephalitis virus vaccine, inactivated, for intramuscular use | Status Code | Not Valid for Medicare Purposes | 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) | O1G - Immunizations/Vaccinations | MUE | 1 | CCS Clinical Classification | 228 - Prophylactic vaccinations and inoculations |
| 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. | AJ | Clinical social worker | CR | Catastrophe/disaster related | GA | Waiver of liability statement issued as required by payer policy, individual case | 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 |
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| 2009-01-01 | Added | First appearance in code book in 2009. |
| 2008-07-01 | Added | - |
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