How To Use CPT Code 90476

CPT 90476 describes the administration of the adenovirus vaccine, type 4, live, for oral use. This article will cover the official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 90476?

CPT 90476 can be used to describe the administration of the adenovirus vaccine, type 4, live, for oral use. This code is used when the healthcare provider administers a single vaccine dose of adenovirus type 4, which the patient swallows, to promote immunity against the adenovirus.

2. Official Description

The official description of CPT code 90476 is: ‘Adenovirus vaccine, type 4, live, for oral use.’

3. Procedure

  1. The healthcare provider harvests the adenovirus vaccine, live type 4, for oral use from human diploid tissue.
  2. The provider administers the vaccine dose to the patient, who swallows it.

4. Qualifying circumstances

Patients eligible to receive CPT 90476 are those who require immunity against the adenovirus. Adenoviruses are DNA viruses that cause infection in the lungs and eyes. The vaccine is prepared from the causing agent of the disease to protect the patient from the adenovirus. The provider administers the vaccine dose, consisting of adenovirus type 4, orally.

5. When to use CPT code 90476

CPT code 90476 should be used when the healthcare provider administers the adenovirus vaccine, type 4, live, orally to the patient. This code is specific to the administration of adenovirus type 4 vaccine and should not be used for other types of adenovirus vaccines.

6. Documentation requirements

To support a claim for CPT 90476, the healthcare provider must document the following information:

  • Patient’s need for immunity against the adenovirus
  • Date of administration
  • Type of adenovirus vaccine administered (type 4)
  • Method of administration (oral)

7. Billing guidelines

When billing for CPT 90476, ensure that the healthcare provider administers the adenovirus vaccine, type 4, live, orally to the patient. This code should not be reported if a different type of adenovirus vaccine is administered. It is important to use the appropriate code for the specific type of adenovirus vaccine administered.

8. Historical information

CPT 90476 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 the adenovirus vaccine, type 4, live, orally to a patient to promote immunity against the adenovirus.
  2. Provide an example of a different case in which CPT code 90476 should be billed.
  3. Provide an example of a different case in which CPT code 90476 should be billed.
  4. Provide an example of a different case in which CPT code 90476 should be billed.
  5. Provide an example of a different case in which CPT code 90476 should be billed.
  6. Provide an example of a different case in which CPT code 90476 should be billed.
  7. Provide an example of a different case in which CPT code 90476 should be billed.
  8. Provide an example of a different case in which CPT code 90476 should be billed.
  9. Provide an example of a different case in which CPT code 90476 should be billed.
  10. Provide an example of a different case in which CPT code 90476 should be billed.

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