VAXELIS CPT Vaccine Code: 90697

Vaccine & Product Overview

HCPCS Descriptor Diphtheria, tetanus toxoids, acellular pertussis vaccine, inactivated poliovirus vaccine, Haemophilus influenzae type b PRP-OMP conjugate vaccine, and hepatitis B vaccine (DTaP-IPV-Hib-HepB), for intramuscular use

Manufacturer Msp Vaccine Company

Route of Administration Intramuscular

Generic Status Single-Source; Branded

Dosage Type Single-Dose

Dosage Form Injection, Suspension

About VAXELIS

Vaxelis is a medication aligned to the HCPCS CPT Drug Code: 90697 for billing, pricing, and reimbursement purposes in the United States. Classified under Vaccine, it is administered via the intramuscular route and manufactured by Msp Vaccine Company.

Manufacturers, reach out to us to add more information.

NDC Code Information

4 NDC packages are crosswalked to 90697. Package detail is available to logged-in subscribers.

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

Login to view 4 NDC packages View pricing, complete NDC-to-HCPCS alignments, and package details.

Login →

VAXELIS Pricing & Reimbursement

90697 Private Payer Reimbursement

$182.28 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

Create an account on PayerPrice for more information →

VAXELIS Vaccine Administration Codes

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).

VAXELIS Medically Unlikely Edits (MUE)

The most billing units of 90697 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 →

VAXELIS 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 Hepatitis B Invasive disease due to Haemophilus influenzae type b (Hib)

Drug Class

Actively Acquired Immunity [PE]Diphtheria Toxoid [CS]Haemophilus Vaccines [CS]Hepatitis B Vaccines [CS]Inactivated Bordetella Pertussis Vaccine [EPC]Inactivated Clostridium Tetani Vaccine [EPC]Inactivated Corynebacterium Diphtheriae Vaccine [EPC]Inactivated Haemophilus Influenzae B Vaccine [EPC]Inactivated Hepatitis B Virus Vaccine [EPC]Inactivated Poliovirus Vaccine [EPC]Pertussis Vaccine [CS]Poliovirus Vaccines [CS]Tetanus Toxoid [CS]VaccinesInactivated [CS]

Frequently Asked Questions

Is there an available Vaxelis billing and coding guide?

Billing and coding information for VAXELIS can be found through MSP VACCINE COMPANY. Visit Here →

Are there any available Vaxelis patient assistance programs?

Our team has not identified a manufacturer-published source of patient assistance information for VAXELIS.

Where can I find Vaxelis prescribing information?

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

Where can I find Vaxelis side effect information?

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

Does billing VAXELIS require JZ/JW wastage modifiers?

CMS does not include VAXELIS (90697) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing 90697. 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.