Home › Drug Codes › CPT Codes › 90696 · QUADRACEL
Updated July 1st, 2026

QUADRACEL CPT Vaccine Code: 90696

Diphtheria, tetanus toxoids, acellular pertussis vaccine and inactivated poliovirus vaccine (DTaP-IPV), when administered to children 4 through 6 years of age, for intramuscular use

Login to unlock all benchmarks
Medicare Payment Limit ?
Not published
Not on CMS's current vaccine price files
CDC Cost / Dose ?
$•••.••
Login to view
Private Sector Cost / Dose ?
$•••.••
Login to view
WAC · AWP ?
$•••.••
Login to view
NDCs Crosswalked ?
7
View NDC crosswalk →
Medicare Coverage CMS publishes no Medicare Part B payment limit for QUADRACEL. Vaccines given for routine prevention are generally covered under Medicare Part D rather than Part B.

Vaccine & Product Overview

HCPCS Descriptor Diphtheria, tetanus toxoids, acellular pertussis vaccine and inactivated poliovirus vaccine (DTaP-IPV), when administered to children 4 through 6 years of age, for intramuscular use
Manufacturer Multiple Manufacturers
Route of Administration Intramuscular
Generic Status Multi-Source; Generic
Dosage Type Single-Dose
Dosage Form Injection, Suspension | Not Available

About QUADRACEL

Quadracel is a medication aligned to the HCPCS CPT Drug Code: 90696 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

7 NDC packages are crosswalked to 90696. Package detail is available to logged-in subscribers.

Login to view 7 NDC packages View pricing, complete NDC-to-HCPCS alignments, and package details.
Login →

QUADRACEL Pricing & Reimbursement

90696 Private Payer Reimbursement
$72.23 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

Create an account on PayerPrice for more information →
UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

QUADRACEL 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.

QUADRACEL Medically Unlikely Edits (MUE)

The most billing units of 90696 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 →

QUADRACEL 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
Drug Class
Actively Acquired Immunity [PE]Diphtheria Toxoid [CS]Inactivated Bordetella Pertussis Vaccine [EPC]Inactivated Clostridium Tetani Vaccine [EPC]Inactivated Corynebacterium Diphtheriae Vaccine [EPC]Inactivated Poliovirus Vaccine [EPC]Pertussis Vaccine [CS]Poliovirus Vaccines [CS]Tetanus Toxoid [CS]VaccinesInactivated [CS]

Login for BuyandBill.com Analytics

Unlock deeper insights with BuyandBill’s Comparative Report!

  • Compare ASP, WAC, and AWP across drugs.
  • Visualize Drug Price Movement Over Time
  • Tailor reports to drug class, manufacturer, or HCPCS Code.
  • Compare Biosimilar and 505(b)(2) products.

Frequently Asked Questions

Is there an available Quadracel billing and coding guide?
We have not yet identified a manufacturer source of Quadracel billing and coding information.
Are there any available Quadracel patient assistance programs?
QUADRACEL patient assistance information can be found through Multiple Manufacturers. Visit Here →
Where can I find Quadracel prescribing information?
QUADRACEL 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 Quadracel side effect information?
Our team has not yet identified a source of side effects information for QUADRACEL. Please check back in a few weeks.
Does billing QUADRACEL require JZ/JW wastage modifiers?
CMS does not include QUADRACEL (90696) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing 90696. 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.