CPT® Code 90707 is used to report the measles, mumps, and rubella (MMR) vaccine, live, administered by the subcutaneous route. This vaccine provides active immunization against measles, mumps, and rubella.
The MMR vaccine is commonly administered as part of routine childhood immunization schedules and may also be given to eligible adolescents and adults who lack evidence of immunity.
Key Facts About CPT® 90707
- Service type: Vaccine product
- Vaccine: Measles, mumps, and rubella (MMR), live
- Route: Subcutaneous
- Purpose: Active immunization against measles, mumps, and rubella
- Provider type: Physicians, qualified healthcare professionals, and immunization providers
Common indications:
- Routine childhood immunization
- Catch-up vaccination
- Patients without evidence of immunity
- Certain occupational or travel-related vaccination needs
- Outbreak response when vaccination is recommended
When to Use CPT® 90707
CPT 90707 is appropriate when the provider supplies and administers the live measles, mumps, and rubella vaccine by subcutaneous injection.
Examples:
- Administering an MMR vaccination during a routine pediatric visit
- Providing catch-up immunization to an eligible patient
- Vaccinating an adolescent or adult who requires MMR immunization
- Administering MMR as part of an appropriate outbreak or exposure response
The vaccine product code is reported separately from the administration service. Applicable vaccine administration codes should be selected based on the circumstances of the encounter.
Documentation Requirements
To support CPT 90707 billing, documentation should include:
- Patient identifiers and date of service
- Vaccine administered
- Date of administration
- Route and administration site
- Vaccine manufacturer
- Vaccine lot number
- Vaccine expiration date
- Dose administered
- Clinical indication or immunization status
- Administration details and provider information
- Patient response and any adverse reaction, when applicable
For pediatric patients, applicable immunization documentation and Vaccine Information Statement requirements should also be followed.
Reimbursement and Coding Considerations
- CPT 90707 represents the MMR vaccine product
- The vaccine administration service is generally reported separately using the appropriate administration code
- Documentation should distinguish the vaccine product from the administration service
- Coverage varies by payer, patient age, eligibility, and vaccination program
- Vaccine inventory, lot number, manufacturer, and expiration information should be accurately documented
- Applicable federal, state, and payer immunization requirements should be followed
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 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.
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