How To Use CPT Code 90660

CPT 90660 describes the administration of an altered form of a live influenza virus via the nose to provide immunity against three forms of influenza. 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 90660?

CPT 90660 can be used to describe the administration of a live influenza virus vaccine through the nose. This vaccine is designed to provide immunity against three forms of influenza, a severe and infectious respiratory disease. The provider will counsel the patient and their family, provide instructions and precautions, and then administer the vaccine.

2. Official Description

The official description of CPT code 90660 is: ‘Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use.’

3. Procedure

1. The patient is appropriately prepped for the vaccine administration.
2. The provider administers an altered form of a live, trivalent influenza vaccine into the nose.
3. The provider counsels the patient and their family, providing instructions and precautions before the administration of the vaccine.

4. Qualifying circumstances

CPT 90660 is used for patients who require protection against three forms of influenza. This vaccine is administered by a healthcare provider and is suitable for individuals who are eligible for influenza vaccination. The patient must be appropriately prepped for the administration of the vaccine, and the provider must counsel the patient and their family before the procedure.

5. When to use CPT code 90660

CPT code 90660 should be used when a healthcare provider administers the live influenza virus vaccine through the nose to provide immunity against three forms of influenza. It is important to ensure that the patient meets the eligibility criteria for influenza vaccination and that the provider follows the appropriate procedure for administration.

6. Documentation requirements

To support a claim for CPT 90660, the healthcare provider must document the following information:

• Explanation of the product administered
• Administration route
• Purpose of the vaccine

7. Billing guidelines

When billing for CPT 90660, ensure that the healthcare provider administers the live influenza virus vaccine through the nose. It is important to follow the appropriate guidelines for reporting this code and to include sufficient documentation from the provider to support the claim. Additionally, consider any other codes that may need to be reported in conjunction with CPT 90660.

8. Historical information

CPT 90660 was added to the Current Procedural Terminology system on January 1, 1999. There have been several historical changes to the code, including updates to the description and terminology used.

9. Examples

1. A healthcare provider administers the live influenza virus vaccine through the nose to a patient to provide immunity against three forms of influenza.
2. A nurse prepares a patient for the administration of the live influenza virus vaccine through the nose and provides counseling and instructions before the procedure.
3. A physician administers the live influenza virus vaccine through the nose to a child, ensuring that the patient and their family understand the purpose and precautions of the vaccine.
4. A healthcare provider administers the live influenza virus vaccine through the nose to an elderly patient, taking into consideration any specific needs or concerns.
5. A nurse administers the live influenza virus vaccine through the nose to a pregnant patient, providing appropriate counseling and ensuring the patient’s safety.
6. A healthcare provider administers the live influenza virus vaccine through the nose to a patient with a compromised immune system, following all necessary precautions and guidelines.
7. A physician administers the live influenza virus vaccine through the nose to a patient in a healthcare facility, ensuring proper documentation and adherence to protocols.
8. A nurse prepares a child for the administration of the live influenza virus vaccine through the nose, providing age-appropriate explanations and reassurance.
9. A healthcare provider administers the live influenza virus vaccine through the nose to a patient with a history of severe allergic reactions, taking all necessary precautions and monitoring the patient closely.
10. A nurse administers the live influenza virus vaccine through the nose to a patient in a community vaccination clinic, following all guidelines and ensuring proper documentation.