Common administration and CPT codes for ProQuad\u00ae<\/sup> (Measles, Mumps, Rubella and Varicella Virus Vaccine Live)<\/strong> <\/h1>
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Given CDC recommended dosing for ProQuad differs from the FDA-approved recommended dosing, any cost or coverage information may be out of date. As always, please contact your patient\u2019s insurance provider for specific information about your patient\u2019s cost or coverage.<\/strong><\/p>\n<\/div><\/div><\/div>\n\n\n\n
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Vaccines for Children Program<\/strong><\/h2><\/div>\n\n\n\n
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ProQuad is available through the Vaccines for Children (VFC) Program for children who qualify. Check with your state or local VFC Program to learn more about the specific products available to your practice.<\/strong>1<\/sup><\/p>\n\n\n\n
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CPT and ICD-10-CM codes<\/strong><\/h2><\/div>\n\n\n\n
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Below is a list of codes that may be relevant for ProQuad and its administration. The information provided here is compiled from sources believed to be accurate, but Merck makes no representation that it is accurate. Consult the relevant manual and\/or other guidelines for a description of each code to determine the appropriateness of a particular code and for information on additional codes.<\/p>\n\n\n\n
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This information is subject to change. Merck cautions that payer coding requirements vary and can frequently change, so it\u2019s important to regularly check with each payer as to payer-specific requirements.<\/p>\n\n\n\n
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You are solely responsible for determining the appropriate codes and for any action you take in billing. The information provided here is not intended to be definitive or exhaustive, and is not intended to replace the guidance of a qualified professional advisor. Merck makes no warranties or guarantees, expressed or implied, concerning the accuracy or appropriateness of this information for your particular use given the frequent changes in public and private payer billing. The use of this information does not guarantee payment or that any payment received will cover your costs. Diagnosis codes should be selected only by a health care professional.<\/p>\n\n\n\n
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CPT code for ProQuad<\/strong>2<\/sup><\/p>\n\n\n\n\n\n
CPT code<\/strong><\/td>
Product code<\/strong><\/td><\/tr>
90710<\/strong><\/td>
ProQuad\u00ae<\/sup> (Measles, Mumps, Rubella and Varicella Virus Vaccine Live)<\/td><\/tr><\/tbody><\/table>
Product administration through 18 years of age via any route of administration, with counseling by physician or other qualified health care professional; first or only component of each product or toxoid component administered.<\/td><\/tr>
+90461<\/strong><\/td>
Each additional product or toxoid component administered (List separately in addition to code for primary procedure).<\/td><\/tr>
90471<\/strong><\/td>
Product administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine\/toxoid).<\/td><\/tr>
+90472<\/strong><\/td>
Each additional vaccine (single or combination vaccine\/toxoid). (List separately in addition to code for primary procedure).<\/td><\/tr><\/tbody><\/table>
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There can be only 1 first administration during a given visit.<\/td><\/tr>
ICD-10-CM code4<\/sup><\/strong><\/td><\/tr>
Z23<\/strong><\/td><\/tr>
Effective for dates of service on or after October 1, 2025, encounter for immunization.<\/td><\/tr><\/tbody><\/table>
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Remember, plan coding requirements vary<\/strong><\/p>\n\n\n\n
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\nPlan coding requirements may vary, so it is important to check with each plan as to plan-specific requirements. For claim submission procedures regarding government programs (eg, Medicaid), contact the appropriate program representative\n<\/p>\n\n\n
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\nICD-10-CM, International Classification of Diseases and Related Health Problems, Tenth Revision, Clinical Modification.\n<\/p>\n\n\n
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CPT, Current Procedural Terminology. CPT is a registered trademark of the American Medical Association.<\/p>\n\n\n\n
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See dosing and administration for ProQuad<\/strong><\/h2>
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