cpt 90686, cpt code 90686, 90686 cpt code

CPT 90686 | Influenza Virus Vaccine | 0.5 mL | Quadrivalent (IIV4) | Split Virus

CPT code 90686 covers a quadrivalent split virus influenza vaccine in a 0.5 mL dosage. The vaccine must be administered intramuscularly and comes without preservatives.

What Is CPT Code 90686?

CPT code 90686 describes the quadrivalent influenza vaccine (IIV4), designed to provide immunity against four strains of influenza, a severe and contagious respiratory illness.

The description of CPT 90686 refers explicitly to the split virus version of the vaccine, which means that the virus has been split into smaller pieces to create a weaker, but still effective, form of the virus.

The vaccine is also preservative-free. It does not contain any additional chemicals or substances to extend its shelf life.

The vaccine is given in a 0.5 mL dosage, the standard amount for intramuscular administration.


The CPT book describes CPT code 90686 as: “Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use.”


The provider administers a 0.5 mL dose of a modified form of the influenza virus, known as the quadrivalent split virus influenza vaccine, in a preservative-free form.

The vaccine is administered into a patient’s muscle to provide immunity against four types of influenza, a severe and contagious respiratory illness affecting millions of people yearly.

The vaccine is designed to protect against the most common flu strains, including influenza A and B.

Before administering the vaccine, the provider explains the options for vaccination, including the choice between the traditional injectable form or the nasal spray.

The provider reviews the potential risks and benefits of the vaccine, as well as any possible side effects, with the patient, parent, or guardian. The provider also provides essential instructions and precautions after administering the vaccine.

The quadrivalent split virus influenza vaccine is given as an intramuscular injection (injected into the deltoid muscle in the upper arm)

This method of administration ensures that the vaccine is quickly absorbed into the bloodstream and can provide rapid protection against the flu.

The vaccine works by triggering an immune response in the body and helps to build immunity against the flu.

How To Use CPT 90686

Select the appropriate form of the influenza vaccine from the “Vaccines, toxoids (CPT 90476 until CPT 90756) before you use CPT 90686.

When billing for vaccinations, you should report separate codes for the vaccine administration, the actual vaccine, and any related office visit.

You should also include detailed documentation from the healthcare provider, including information on the specific product administered, the method of administration, and the reason for the vaccination.

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