CPT® Code 90715 is used to report the Tdap vaccine for individuals 7 years of age and older. The Tdap vaccine provides protection against tetanus, diphtheria, and pertussis (whooping cough) and is commonly administered as part of routine immunization schedules, booster doses, and preventive care.
This code represents the vaccine product itself, not the administration service, which is reported separately using the appropriate vaccine administration CPT codes.
Key Facts About CPT® 90715
- Service type: Vaccine product
- Provider type: Physicians, clinics, pharmacies, and qualified healthcare professionals
- Medical services included: Yes—Tdap vaccine supply
- Route of administration: Intramuscular (IM)
- Age range: 7 years and older
- Common clinical indications:
- Routine adolescent and adult immunization
- Booster vaccination for tetanus and pertussis
- Wound management requiring tetanus protection
- Pregnancy-related pertussis protection (per guidelines)
When to Use CPT® 90715
CPT 90715 is appropriate when:
- A Tdap vaccine is administered to a patient 7 years or older
- The vaccine product is supplied by the provider
- Immunization is medically appropriate or preventive
- Administration is billed separately using the correct CPT code
Examples:
- Administering a Tdap booster to an adult patient
- Vaccinating an adolescent according to routine immunization schedules
- Providing Tdap vaccination during pregnancy per clinical guidelines
Documentation Requirements
To support CPT 90715 billing, documentation should include:
- Patient identifiers and date of service
- Vaccine name (Tdap) and CPT code
- Manufacturer, lot number, and expiration date
- Route of administration and injection site
- Vaccine Information Statement (VIS) date provided
- Ordering and administering provider details
Accurate documentation supports compliance, patient safety, and reimbursement.
Reimbursement and Coding Considerations
- CPT 90715 is widely covered by Medicare, Medicaid, and commercial insurers
- Vaccine administration must be billed separately using the appropriate CPT code
- Coverage may vary based on patient age, indication, and payer policy
- Modifier usage may apply depending on setting and payer requirements
- Always verify payer-specific immunization billing guidelines
How OptiMantra Supports Vaccine Administration
OptiMantra’s integrated EMR and practice management system streamlines documentation and billing for CPT 90715:
With OptiMantra, providers can:
- Record vaccine details directly in the patient chart
- Generate compliant billing for vaccine products and administration
- Maintain complete immunization histories across patient lifespans
By centralizing immunization workflows, OptiMantra helps practices ensure compliance, improve efficiency, and optimize reimbursement.
Try OptiMantra for free here!
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