Prevnar - 13 CPT Vaccine Code: 90670
Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use
Vaccine & Product Overview
About Prevnar - 13
Prevnar - 13 is a medication aligned to the HCPCS CPT Drug Code: 90670 for billing, pricing, and reimbursement purposes in the United States. Classified under Vaccine, it is administered via the intramuscular route and manufactured by Pfizer.
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
2 NDC packages are crosswalked to 90670. Package detail is available to logged-in subscribers.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| •••••-••••-•• Log in to view | Prevnar - 13 | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
| •••••-••••-•• Log in to view | Prevnar - 13 | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
Prevnar - 13 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 |
|---|---|
| 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. |
Prevnar - 13 Medically Unlikely Edits (MUE)
The most billing units of 90670 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 →
Prevnar - 13 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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