CPT® Code 90714 is used to report the tetanus and diphtheria toxoids vaccine (Td) administered to patients 7 years of age or older by intramuscular injection. This vaccine provides active immunization against tetanus and diphtheria.
Td vaccination may be used for routine booster immunization, catch-up vaccination, or tetanus prevention following certain wounds or injuries when vaccination is indicated.
Key Facts About CPT® 90714
- Service type: Vaccine product
- Vaccine: Tetanus and diphtheria toxoids, adsorbed
- Age: Patients 7 years and older
- Route: Intramuscular
- Purpose: Active immunization against tetanus and diphtheria
- Provider type: Physicians, qualified healthcare professionals, and immunization providers
Common indications:
- Routine Td booster vaccination
- Catch-up immunization
- Tetanus prevention following certain wounds
- Patients requiring tetanus and diphtheria immunization based on vaccination history
- Individuals who require Td vaccination but are not receiving the Tdap product
When to Use CPT® 90714
CPT 90714 is appropriate when the provider supplies and administers the Td vaccine to an eligible patient age 7 or older by intramuscular injection.
Examples:
- Administering a Td booster to an eligible adult
- Providing Td vaccination as part of an appropriate catch-up schedule
- Administering Td following a wound when tetanus vaccination is indicated
- Providing Td to a patient who requires protection against tetanus and diphtheria
The vaccine product code is reported separately from the vaccine administration service. The appropriate administration code should be selected based on the circumstances of the encounter and patient eligibility.
Documentation Requirements
To support CPT 90714 billing, documentation should include:
- Patient identifiers and date of service
- Vaccine administered
- Date of administration
- Route and administration site
- Dose administered
- Vaccine manufacturer
- Vaccine lot number
- Vaccine expiration date
- Clinical indication or immunization status
- Provider information
- Patient response and any adverse reaction, when applicable
For wound-related vaccination, documentation should also include relevant wound findings and the clinical reason for administering the vaccine.
Reimbursement and Coding Considerations
- CPT 90714 represents the Td vaccine product
- Vaccine administration is generally reported separately using the appropriate administration code
- Documentation should distinguish the vaccine product from the administration service
- CPT 90714 should be distinguished from codes for other tetanus-containing vaccines, such as Tdap
- Coverage varies based on payer, patient age, vaccination indication, and applicable programs
- Vaccine inventory information, including manufacturer, lot number, and expiration date, should be accurately documented
Always verify current CPT guidance and payer-specific vaccination billing requirements before submitting claims.
How OptiMantra Supports Immunization Documentation
OptiMantra's integrated EMR and practice management system helps practices organize vaccine administration and patient documentation.
With OptiMantra, providers can:
- Document Td and other immunizations within the patient chart
- Record vaccine administration details and clinical indications
- Maintain organized patient medical records
- Use customizable chart templates for consistent documentation
- Document follow-up recommendations and patient communications
- Maintain comprehensive records that support practice workflows and billing
By keeping immunization information within the patient's longitudinal record, OptiMantra helps practices maintain organized documentation across visits.
Try OptiMantra for free here!
Disclaimer: CPT® codes are maintained by the American Medical Association. This guide is for informational purposes only and does not replace official coding guidelines or payer policies.
.png)
