How To Use CPT Code 90625

CPT 90625 describes the administration of the cholera vaccine to a patient suffering from cholera. 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 90625?

CPT 90625 is used to describe the administration of the cholera vaccine to a patient. This vaccine is given orally as a single dose and is used to treat individuals believed to be suffering from cholera, an acute diarrheal illness caused by the bacterium Vibrio cholera.

2. Official Description

The official description of CPT code 90625 is: ‘Cholera vaccine, live, adult dosage, 1 dose schedule, for oral use.’

3. Procedure

1. The healthcare provider presents the options for immunization to the patient or their guardian and reviews the risks, benefits, and potential side effects of the cholera vaccine.
2. Once the patient is prepared, the provider administers the vaccine orally as a single dose.
3. For individuals living in problem areas, a booster dose may be required every six months.

4. Qualifying circumstances

CPT 90625 is used for patients who are believed to be suffering from cholera and require treatment with the cholera vaccine. The vaccine is administered by a healthcare provider and is suitable for adults. It is important to note that this code is specific to the adult dosage of the vaccine.

5. When to use CPT code 90625

CPT code 90625 should be used when a healthcare provider administers the cholera vaccine orally as a single dose to an adult patient. It is important to ensure that the patient meets the qualifying circumstances for receiving the vaccine and that the administration is documented appropriately.

6. Documentation requirements

To support a claim for CPT 90625, the healthcare provider must document the following information:

• Confirmation of the patient’s diagnosis of cholera or suspected cholera
• Administration of the cholera vaccine as a single dose
• Date of administration
• Route of administration (oral)
• Purpose of the vaccine (treatment of cholera)

7. Billing guidelines

When billing for CPT 90625, ensure that the administration of the cholera vaccine is documented appropriately and that the patient meets the qualifying circumstances for receiving the vaccine. It is important to follow the specific guidelines provided by the payer and to report the code accurately on the claim form.

8. Historical information

CPT 90625 was added to the Current Procedural Terminology system on January 1, 2016. There have been no updates or changes to the code since its addition.

9. Examples

1. A healthcare provider administers the cholera vaccine orally to an adult patient who has been diagnosed with cholera.
2. A patient presents with symptoms of cholera, and the healthcare provider administers the cholera vaccine as a single dose orally.
3. An individual traveling to a cholera-endemic area receives the cholera vaccine orally before their trip.
4. A patient who has been in contact with someone diagnosed with cholera receives the cholera vaccine orally as a preventive measure.
5. An adult patient with a history of cholera receives the cholera vaccine orally as part of their ongoing treatment plan.