ICD-9 Codes that Support Medical Necessity

Tetanus Toxoid (CPT 90703)

870.0 – 897.7 – LACERATION OF SKIN OF EYELID AND PERIOCULAR AREA – TRAUMATIC AMPUTATION OF LEG(S) (COMPLETE) (PARTIAL) BILATERAL (ANY LEVEL) COMPLICATED

910.0 – 919.9 – ABRASION OR FRICTION BURN OF FACE NECK AND SCALP EXCEPT EYE WITHOUT INFECTION – OTHER AND UNSPECIFIED SUPERFICIAL INJURY OF OTHER MULTIPLE AND UNSPECIFIED SITES INFECTED

V03.7 – NEED FOR PROPHYLACTIC VACCINATION WITH TETANUS TOXOID ALONE

Tetanus and Diptheria toxoids (90702, 90714, 90718)

870.0 – 897.7 – LACERATION OF SKIN OF EYELID AND PERIOCULAR AREA – TRAUMATIC AMPUTATION OF LEG(S) (COMPLETE) (PARTIAL) BILATERAL (ANY LEVEL) COMPLICATED

910.0 – 919.9 – ABRASION OR FRICTION BURN OF FACE NECK AND SCALP EXCEPT EYE WITHOUT INFECTION – OTHER AND UNSPECIFIED SUPERFICIAL INJURY OF OTHER MULTIPLE AND UNSPECIFIED SITES INFECTED

V03.7 – NEED FOR PROPHYLACTIC VACCINATION WITH TETANUS TOXOID ALONE

Diptheria, Antitoxin (CPT 90296)

032.0 – 032.3 FAUCIAL DIPHTHERIA – LARYNGEAL DIPHTHERIA
032.81 – 032.85 CONJUNCTIVAL DIPHTHERIA – CUTANEOUS DIPHTHERIA
032.89 OTHER SPECIFIED DIPHTHERIA
032.9 DIPHTHERIA UNSPECIFIED

Rabies Prophylaxis (CPT 90675, 90676)

V01.5 CONTACT WITH OR EXPOSURE TO RABIES

Hepatitis A vaccine (CPT 90632, 90633, 90634)

V01.79 CONTACT OR EXPOSURE TO OTHER VIRAL DISEASES