CPT 90651CPT product code

Human Papillomavirus 9-valent vaccine (0.5 mL)

Vaccine / Immunization

The answer

CPT 90651 is human papillomavirus 9-valent vaccine (0.5 ml), billed at 1 Dose = 1 Unit. It covers Gardasil.

Code detail

Code: CPT 90651
Code set: CPT (HCPCS Level I), maintained by the American Medical Association
Descriptor: Human Papillomavirus 9-valent vaccine (0.5 mL)
Billable unit: 1 Dose = 1 Unit
Administration: CPT 90471 — immunization administration, billed as a separate line
Category: Vaccine / Immunization

Drugs billed under CPT 90651

1 brand name and 0 generics map to this code.

Gardasil

Human Papillomavirus 9-valent vaccine (0.5 mL)

Next steps

Find the NDCs for Gardasil

FDA drug records with packaging, strengths and the 11-digit HIPAA conversion already applied.

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Convert the NDC for the claim

The three leading-zero rules that turn an FDA 10-digit code into the 11-digit form this claim line needs.

Terms used on this page

Billable unitThe quantity denominator built into a HCPCS drug code, which converts an administered dose into the number reported on the claim.Definition Vaccine product codeA CPT code in the 90xxx range identifying the vaccine itself, billed alongside a separate administration code.Definition NDC quantityThe amount of drug actually taken from the package, expressed in the unit named by the unit qualifier.Definition JW modifierReports the amount of a single-dose container that was discarded rather than administered.Definition

HCPCS Level II is updated quarterly by CMS. Verify CPT 90651 against the current release before submitting a high-value claim.