CPT 90715: Tdap Vaccine (Tetanus, Diphtheria, Pertussis)
CPT 90715 is the Tdap vaccine product code (tetanus, diphtheria, acellular pertussis) for adolescents and adults. It carries PFS status E — excluded from the Physician Fee Schedule. Unlike flu and pneumococcal vaccines, Tdap is generally not a Medicare Part B preventive benefit; it is typically covered under Part D or a commercial benefit.
- Code type
- Vaccine product (Tdap, adolescent/adult)
- PFS status
- E — excluded from the Physician Fee Schedule
- Priced under
- Typically Part D or commercial benefit
- Part B?
- Not routinely covered (unlike flu/pneumococcal)
What is CPT 90715 used for?
CPT 90715 is the Tdap vaccine product code — tetanus, diphtheria, and acellular pertussis, formulated for adolescents and adults, given intramuscularly. It identifies the product; the administration is billed separately with 90471 (or the Medicare G-code where applicable).
Why is there no fee schedule price for 90715?
90715 carries PFS status E — excluded from the Physician Fee Schedule. That is different from flu's status X: status E means the code is not payable under Medicare's medical fee schedule at all, because when Tdap is covered it flows through a drug benefit (Part D) or a commercial plan, not the PFS. Do not look up a PFS dollar amount for 90715.
How is Tdap covered — Part B or Part D?
This is the key distinction that separates Tdap from flu and pneumococcal vaccines:
| Vaccine | Medicare coverage |
|---|---|
| Flu, pneumococcal, COVID | Part B preventive (no cost-share) |
| Tdap (routine) | Part D or commercial benefit |
| Tetanus for a wound/injury | May be Part B (treatment, not prevention) |
How do you handle 90715 on a claim?
- Verify the benefit before administering — Part D, commercial preventive, or a Part B wound-treatment scenario.
- If covered, bill the product (90715) plus the administration and diagnosis Z23.
- For Medicare beneficiaries needing routine Tdap, direct them to a Part D route rather than billing Part B.
Because coverage varies, confirm the plan's allowed amount and whether prior authorization or a specific pharmacy is required. For the payable medical services around the visit, locality rates are in the Medicare fee calculator. The flu product code is 90686.
Frequently asked questions
Usually not. Medicare Part B covers only a defined set of preventive vaccines — influenza, pneumococcal, COVID, and hepatitis B for at-risk beneficiaries. Tdap is generally covered under Medicare Part D (the prescription drug benefit) or a commercial plan, unless it is administered to treat an actual injury or exposure.
Part B may cover the tetanus component when it is given as treatment for a specific injury or wound exposure, not as routine prevention. Routine Tdap immunization for a healthy adult falls to Part D or commercial coverage, so verify the benefit before administering.
90715 carries PFS status E, meaning it is excluded from the Physician Fee Schedule. It is not priced there because payment, when it applies, comes through a drug or preventive benefit rather than the medical fee schedule.
Sources & further reading
Reviewed by the ImmediCare Solutions RCM team
Certified billers and coders handling claims across 50+ specialties nationwide. This entry is reviewed against current payer policy and CMS rules. Last review: Jul 5, 2026.
Stop losing revenue to problems like this.
A free billing audit shows exactly where your practice is leaking money — no cost, no commitment.
