How To Use CPT Code 90627

CPT 90627 describes the administration of an inactivated vaccine for protection against tick-borne encephalitis virus. 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 90627?

CPT 90627 represents the administration of an inactivated vaccine to protect against tick-borne encephalitis virus. This vaccine is given intramuscularly in a dosage of 0.5 mL. It is designed to reduce the patient’s risk of contracting brain inflammation caused by the virus, which is spread by ticks.

2. Official Description

The official description of CPT code 90627 is: ‘Tick-borne encephalitis virus vaccine, inactivated; 0.5 mL dosage, for intramuscular use.’

3. Procedure

1. The healthcare provider prepares the inactivated vaccine for administration.
2. The patient is positioned appropriately for intramuscular injection.
3. The healthcare provider administers the vaccine intramuscularly, using a needle and syringe.
4. The dosage administered is 0.5 mL.
5. The healthcare provider disposes of the needle and syringe safely.

4. Qualifying circumstances

CPT 90627 is used when a patient requires protection against tick-borne encephalitis virus. This vaccine is suitable for individuals at risk of contracting the virus, such as those living in or traveling to areas where the virus is prevalent. The vaccine is administered by a healthcare provider and is appropriate for patients of all ages.

5. When to use CPT code 90627

CPT code 90627 should be used when a patient requires protection against tick-borne encephalitis virus and receives the inactivated vaccine intramuscularly. It is important to ensure that the dosage administered is 0.5 mL. If a different dosage is used, a different CPT code should be reported.

6. Documentation requirements

To support a claim for CPT 90627, the healthcare provider must document the following information:

• Patient’s risk factors for tick-borne encephalitis virus
• Date of vaccine administration
• Route of administration (intramuscular)
• Dosage administered (0.5 mL)
• Signature of the healthcare provider administering the vaccine

7. Billing guidelines

When billing for CPT 90627, ensure that the vaccine is administered intramuscularly in a dosage of 0.5 mL. It is important to report the administration of the vaccine separately using the appropriate administration code. CPT code 90627 should not be reported with other vaccine codes unless they are administered separately and meet the documentation requirements.

8. Historical information

CPT 90627 was added to the Current Procedural Terminology system on July 1, 2022. There have been no updates to the code since its addition.

9. Examples

1. A healthcare provider administers the inactivated tick-borne encephalitis virus vaccine intramuscularly to a patient who is planning to travel to an area where the virus is prevalent.
2. A nurse administers the inactivated tick-borne encephalitis virus vaccine intramuscularly to a child who lives in an area where the virus is endemic.
3. A physician administers the inactivated tick-borne encephalitis virus vaccine intramuscularly to an adult who works outdoors in a region with a high tick population.
4. A healthcare provider administers the inactivated tick-borne encephalitis virus vaccine intramuscularly to a patient who has previously had a severe allergic reaction to a tick bite.
5. A nurse administers the inactivated tick-borne encephalitis virus vaccine intramuscularly to a traveler who will be visiting a tick-infested forest.
6. A physician administers the inactivated tick-borne encephalitis virus vaccine intramuscularly to a patient with a compromised immune system who is at higher risk of severe complications from the virus.
7. A healthcare provider administers the inactivated tick-borne encephalitis virus vaccine intramuscularly to a pregnant woman who will be traveling to an area where the virus is endemic.
8. A nurse administers the inactivated tick-borne encephalitis virus vaccine intramuscularly to an elderly patient who plans to spend the summer in a region with a high tick population.
9. A physician administers the inactivated tick-borne encephalitis virus vaccine intramuscularly to a patient who will be participating in outdoor activities in a tick-infested area.
10. A healthcare provider administers the inactivated tick-borne encephalitis virus vaccine intramuscularly to a patient who has a family history of severe complications from tick-borne encephalitis.