Home › Drug Codes › CPT Codes › 90648 · ACTHIB
Updated July 1st, 2026

ACTHIB CPT Vaccine Code: 90648

Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular use

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Medicare Payment Limit ?
Not published
Not on CMS's current vaccine price files
CDC Cost / Dose ?
$•••.••
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Private Sector Cost / Dose ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
2
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Medicare Coverage CMS publishes no Medicare Part B payment limit for ACTHIB. Vaccines given for routine prevention are generally covered under Medicare Part D rather than Part B.

Vaccine & Product Overview

HCPCS Descriptor Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular use
Manufacturer Multiple Manufacturers
Route of Administration Intramuscular
Generic Status Multi-Source; Generic
Dosage Type Single-Dose
Dosage Form Kit

About ACTHIB

Acthib is a medication aligned to the HCPCS CPT Drug Code: 90648 for billing, pricing, and reimbursement purposes in the United States. It is a Vaccine drug administered via the intramuscular route and manufactured by multiple companies.

Manufacturers, reach out to us to add more information.

NDC Code Information

2 NDC packages are crosswalked to 90648. Package detail is available to logged-in subscribers.

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ACTHIB Pricing & Reimbursement

90648 Private Payer Reimbursement
$15.11 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

ACTHIB Vaccine Administration Codes

The below list of CPT codes is intended for informational purposes only and may not be exhaustive. CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved.

CPT Code Description
90460 Immunization administration via any route, first vaccine/toxoid component
90461 Immunization administration through 18 years of age via any route of administration, with counseling by physician or other qualified health care professional; each additional vaccine or toxoid component (List separately in addition to code for primary procedure).
90471 Login for More Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), one vaccine (single or combination vaccine/toxoid) Login for More
90472 Login for More Immunization administration (each additional vaccine or toxoid), when performed in conjunction with primary procedure. Login for More

ACTHIB Medically Unlikely Edits (MUE)

The most billing units of 90648 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 dose.

Practitioner Office & Hospital Outpatient
1 unit / day
Same limit in both settings

MAI 2 · Date of Service Edit: Policy. Absolute per-day limit set by policy or regulation; units above it are not payable, and denials are not appealable on medical-necessity grounds. See all MUE limits →

ACTHIB Clinical Information

Indications and drug classification.

Treated Diseases & Conditions

This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.

Invasive disease caused by Haemophilus influenzae type b (Hib).

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Frequently Asked Questions

Is there an available Acthib billing and coding guide?
Billing and coding information for ACTHIB can be found through Multiple Manufacturers. Visit Here →
Are there any available Acthib patient assistance programs?
Our team did not identify a source for Acthib patient assistance information. Please reach out to our team if you feel that this is a mistake.
Where can I find Acthib prescribing information?
ACTHIB prescribing information can be found at the link below. Please reach out to us if you believe this information to be innacurate or out of date. Visit Here →
Where can I find Acthib side effect information?
Our team has not yet identified a source of side effects information for ACTHIB. Please check back in a few weeks.
Does billing ACTHIB require JZ/JW wastage modifiers?
CMS does not include ACTHIB (90648) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing 90648. For more information, visit the link below.

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The BuyandBill.com team is dedicated to delivering high-quality coding and billing information for office-administered drugs. We continuously research HCPCS-coded medications to expand our resources and ensure data accuracy. Manufacturers: click here to sponsor your medication, and we will ensure the most accurate and detailed information is displayed.