ED Coding and Reimbursement Alert

Question: Are CPT codes 90675 and 90375 billable by the physician? And can we bill them together?

Illinois Subscriber

Answer: Codes 90675 (rabies vaccine, for intramuscular use) and 90375 (rabies immune globulin [RIg], human, for intramuscular and/or subcutaneous use) are two different items, and yes, you can bill them together if the physician administered them. But many carriers will not pay for this service because the nursing staff usually performs it. Check with your local carrier. Medicare does not pay the physician for this service. Some carriers might pay the physician, if the physician documents that he or she did the injection. They have to say, I gave the rabies shot in the documentation.

In most cases this would only be billable by the hospital under the HCPCS and CPT regulations, and then the facility gets paid by APCs or by the commercial carrier.