2019 Vaccine Guide & Insert - 28

Tdap
Tetanus & (Reduced) Diphtheria Toxoids and
Acellular Pertussis (Tdap)
How serious is tetanus?
Tetanus has a high fatality rate. In recent years, tetanus has been fatal in about 10% of
reported cases.
How serious is diphtheria?
Diphtheria is a serious disease: 5%-10% of all people with diphtheria die. Up to 20% of cases
lead to death in certain age groups of individuals (e.g., children younger than age 5 and adults
older than age 40).
How serious is pertussis?
Although adults are less likely than infants to become seriously ill with pertussis, most make repeated
visits for medical care and miss work, especially when pertussis is not initially considered as a
reason for their long‐term cough. In addition, adults with pertussis infection have been shown to be
a frequent source of infection to infants with whom they have close contact.
What are the recommendations for use of Tdap in children and adults ages 7 and older?
In response to an increased incidence of pertussis in the U.S., ACIP has issued several new
recommendations for the use of Tdap vaccine. The complete recommendations follow.
* Tdap can be given regardless of the interval since the last Td was given. There is NO
need to wait 2-5 years to administer Tdap following a dose of Td.
* Adolescents should receive a single dose of Tdap (instead of Td) at the 11-12‐year‐old visit.

ACIP recommends
a single dose of
Tdap be given to
all adults, including
those age 65 years
or older, especially
adults who have or
anticipate having
close contact with
an infant younger
than age 12 months
(e.g., grandparents,
childcare providers)

* Adolescents and adults who have not received a dose of Tdap, or for whom vaccine
status is unknown, should receive a single dose of Tdap as soon as feasible. As stated
above, Tdap can be administered regardless of interval since the previous Td dose.
* Children ages 7 through 10 years who are not fully immunized against pertussis (i.e., did not
complete a series of pertussis‐containing vaccine before their seventh birthday) should receive
a single dose of Tdap. If needed, they should complete their series with Td.
* All health care workers, regardless of age, should receive a single dose of Tdap as soon
as feasible if they have not previously received Tdap and regardless of the time since
the last dose of Td.
* Pregnant teens and women should receive Tdap during each pregnancy, preferably between
27 and 36 weeks' gestation. Women who have never received Tdap and who do not receive
it during pregnancy should receive it immediately postpartum. To obtain the recommendations,
go to http://www.cdc.gov/mmwr/volumes/67/rr/pdfs/rr6702a1-H.pdf
Source: http://www.immunize.org/askexperts/experts_per.asp
CPT Information
Administration CPT Code without
physician counseling

90471, 90472, 90473 or 90474

Administration CPT Code with
physician counseling

90460 or 90461

Adacel®

90715

BOOSTRIX®

90715

For informational purposes only. Source: ReimbursementCodes.com and/or www.cms.gov. Customer is responsible for verification of billing/coding in accordance with applicable specific circumstances.
See manufacturer package insert for full prescribing information.
†

To Order: 1.800.P.SCHEIN (1.800.772.4346) 8am-8:30pm, et

To Fax: 1.800.329.9109 24 Hrs

19MS4037

http://www.cdc.gov/mmwr/volumes/67/rr/pdfs/rr6702a1-H.pdf http://www.immunize.org/askexperts/experts_per.asp http://www.ReimbursementCodes.com http://www.cms.gov

2019 Vaccine Guide & Insert

Table of Contents for the Digital Edition of 2019 Vaccine Guide & Insert