Pneumovax 23 CPT Vaccine Code: 90732
Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use
Vaccine & Product Overview
About Pneumovax 23
Pneumovax 23 is a medication aligned to the HCPCS CPT Drug Code: 90732 for billing, pricing, and reimbursement purposes in the United States. It is a Vaccine drug administered via the intramuscular or subcutaneous routes and manufactured by Merck.
According to CMS Drug Use Information: This vaccine is used to help prevent pneumococcal disease, an infection caused by a certain bacteria (Streptococcus pneumoniae). This bacteria can cause ear infections or other more serious infections (such as pneumonia, meningitis, blood infection). Vaccination is the best way to protect against this disease. This vaccine works by increasing the body's natural defense (immunity) against the bacteria. Vaccines may not fully protect everyone who receives them.
Disclaimer: This is a summary and does not contain all possible information about this product. For complete information about this product or your specific health needs, ask your healthcare professional.
NDC Code Information
3 NDC packages are crosswalked to 90732. Package detail is available to logged-in subscribers.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| •••••-••••-•• Log in to view | Pneumovax 23 | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
| •••••-••••-•• Log in to view | Pneumovax 23 | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
| •••••-••••-•• Log in to view | Pneumovax 23 | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
Pneumovax 23 Pricing & Reimbursement
National median reimbursement across major commercial payers.
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Login to use the calculator →Pneumovax 23 Vaccine Administration Codes
Medicare bills the administration of Pneumovax 23 with HCPCS code G0009, and allows simplified roster billing when vaccinating multiple patients. The CPT codes below apply to non-Medicare payers.
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.
| Code | Description |
|---|---|
| G0009 | Administration of pneumococcal vaccine (Medicare) |
| 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. |
Pneumovax 23 Medically Unlikely Edits (MUE)
The most billing units of 90732 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 0.5 ml.
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 →
Pneumovax 23 Clinical Information
Indications and drug classification.
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.
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