How To Use CPT Code 90393

CPT 90393 describes the administration of Vaccine Immune Globulin (VIg) for intramuscular use. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 90393?

CPT 90393 is used to describe the administration of Vaccine Immune Globulin (VIg) for intramuscular use. VIg is a plasma-derived product that contains antibodies from individuals who have received the smallpox vaccine multiple times. It is used to prevent and boost immunity against smallpox.

2. Official Description

The official description of CPT code 90393 is: ‘Vaccinia immune globulin, human, for intramuscular use.’

3. Procedure

1. The healthcare provider inspects the injection site.
2. Using an appropriately sized needle, the provider administers the Vaccine Immune Globulin (VIg) injection into the patient’s muscle, such as the arm or back.
3. The injection is administered slowly to ensure the desired pharmacological action.

4. Qualifying circumstances

CPT 90393 is used when a healthcare provider administers Vaccine Immune Globulin (VIg) for intramuscular use. This procedure is typically performed to produce short-term immunity against the vaccinia virus, which causes smallpox. The patient may require this treatment if they have been exposed to smallpox or if they are at risk of developing the disease.

5. When to use CPT code 90393

CPT code 90393 should be used when a healthcare provider administers Vaccine Immune Globulin (VIg) for intramuscular use. It is important to ensure that the administration is performed according to the specific guidelines and recommendations for the prevention and treatment of smallpox.

6. Documentation requirements

To support a claim for CPT 90393, the healthcare provider must document the following information:

• Reason for administering Vaccine Immune Globulin (VIg)
• Date and time of the administration
• Injection site inspection
• Details of the administration procedure
• Any adverse reactions or complications
• Signature of the healthcare provider administering the injection

7. Billing guidelines

When billing for CPT 90393, ensure that the administration of Vaccine Immune Globulin (VIg) is performed according to the specific guidelines and recommendations for the prevention and treatment of smallpox. It is important to follow the appropriate coding and billing guidelines provided by the payer to ensure accurate reimbursement.

8. Historical information

CPT 90393 was added to the Current Procedural Terminology system on January 1, 1999. There have been no updates to the code since its addition.

9. Examples

1. A healthcare provider administers Vaccine Immune Globulin (VIg) to a patient who has been exposed to smallpox.
2. A patient receives Vaccine Immune Globulin (VIg) as a preventive measure due to their high risk of developing smallpox.
3. A healthcare provider administers Vaccine Immune Globulin (VIg) to a patient who has developed complications from a smallpox vaccination.
4. A patient receives Vaccine Immune Globulin (VIg) as part of a smallpox outbreak response.
5. A healthcare provider administers Vaccine Immune Globulin (VIg) to a patient who is undergoing a smallpox vaccination series.