PENTACEL CPT Vaccine Code: 90698

Vaccine & Product Overview

HCPCS Descriptor Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use

Manufacturer Sanofi

Route of Administration Intramuscular

Generic Status Single-Source; Branded

Dosage Type Single-Dose

Dosage Form Kit

About PENTACEL

Pentacel is a medication aligned to the HCPCS CPT Drug Code: 90698 for billing, pricing, and reimbursement purposes in the United States. This Vaccine medication is administered via the intramuscular route and manufactured by Sanofi.

Manufacturers, reach out to us to add more information.

NDC Code Information

1 NDC package is crosswalked to 90698. Package detail is available to logged-in subscribers.

NDC Code	Drug	Manufacturer	Billing Units / Pkg	Package Size
•••••-••••-•• Log in to view	PENTACEL

Login to view 1 NDC package View pricing, complete NDC-to-HCPCS alignments, and package details.

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PENTACEL Pricing & Reimbursement

90698 Private Payer Reimbursement

$138.87 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

Create an account on PayerPrice for more information →

PENTACEL Vaccine Administration Codes

CPT Code	Description
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), one vaccine (single or combination vaccine/toxoid)
90472	Immunization administration (each additional vaccine or toxoid), when performed in conjunction with primary procedure.

PENTACEL Medically Unlikely Edits (MUE)

The most billing units of 90698 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 →

PENTACEL 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.

Diphtheria Tetanus Pertussis Poliomyelitis Invasive disease due to Haemophilus influenzae type b (Hib)

Frequently Asked Questions

Is there an available Pentacel billing and coding guide?

Billing and coding information for PENTACEL can be found through Sanofi. Visit Here →

Are there any available Pentacel patient assistance programs?

PENTACEL patient assistance information can be found through Sanofi. Visit Here →

Where can I find Pentacel prescribing information?

PENTACEL prescribing information can be found at the link below: Visit Here →

Where can I find Pentacel side effect information?

Our team has not yet identified a source of side effects information for PENTACEL. Please check back in a few weeks.

Does billing PENTACEL require JZ/JW wastage modifiers?

CMS does not include PENTACEL (90698) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing 90698. For more information, visit the link below.

About BuyandBill.com:

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.