How To Use CPT Code 90671

CPT 90671 describes the administration of a pneumococcal conjugate vaccine, specifically the 15-valent (PCV15) variant, through intramuscular injection. 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 90671?

CPT 90671 represents the administration of a pneumococcal conjugate vaccine, specifically the 15-valent (PCV15) variant. This vaccine is given to patients through an intramuscular injection to protect against pneumococcal disease, which is caused by bacterial infection. The PCV15 vaccine provides protection against 15 different strains of pneumococcal bacteria.

2. Official Description

The official description of CPT code 90671 is: ‘Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use.’

3. Procedure

1. The healthcare provider prepares the PCV15 vaccine for administration.
2. The patient is positioned appropriately to receive an intramuscular injection.
3. The healthcare provider administers the PCV15 vaccine through an intramuscular injection, typically in the deltoid muscle of the upper arm.
4. The patient may experience mild discomfort or soreness at the injection site.
5. The healthcare provider ensures proper disposal of any used materials and documents the administration of the vaccine in the patient’s medical record.

4. Qualifying circumstances

CPT 90671 is used when a patient requires protection against pneumococcal disease and is eligible to receive the PCV15 vaccine. This vaccine is specifically designed to protect against 15 strains of pneumococcal bacteria. The administration of the vaccine is performed by a healthcare provider through an intramuscular injection.

5. When to use CPT code 90671

CPT code 90671 should be used when a healthcare provider administers the PCV15 vaccine to a patient through an intramuscular injection. This code is specific to the 15-valent variant of the pneumococcal conjugate vaccine. It is important to ensure that the patient meets the qualifying circumstances for receiving the vaccine and that the administration is performed correctly.

6. Documentation requirements

To support a claim for CPT 90671, the healthcare provider must document the following information:

• Patient’s eligibility for the PCV15 vaccine
• Date and time of the vaccine administration
• Route of administration (intramuscular)
• Specific vaccine product administered (PCV15)
• Any adverse reactions or side effects experienced by the patient
• Signature of the healthcare provider administering the vaccine

7. Billing guidelines

When billing for CPT 90671, ensure that the administration of the PCV15 vaccine is properly documented and meets the qualifying circumstances. It is important to report the correct vaccine product and route of administration. Additionally, follow any specific billing guidelines provided by the payer or relevant coding guidelines. It is also important to consider any additional codes that may need to be reported in conjunction with CPT 90671, such as codes for vaccine counseling or other related services.

8. Historical information

CPT 90671 was added to the Current Procedural Terminology system on July 1, 2021. As of now, there have been no updates or changes to the code since its addition.

9. Examples

1. A healthcare provider administers the PCV15 vaccine to a 65-year-old patient to protect against pneumococcal disease.
2. A nurse administers the PCV15 vaccine to an infant as part of their routine immunization schedule.
3. A pharmacist administers the PCV15 vaccine to a patient with a compromised immune system.
4. A healthcare provider administers the PCV15 vaccine to a patient with a chronic respiratory condition.
5. A pediatrician administers the PCV15 vaccine to a child to prevent pneumococcal infections.
6. A healthcare provider administers the PCV15 vaccine to a patient before they undergo a surgical procedure.
7. A nurse administers the PCV15 vaccine to a patient in a long-term care facility.
8. A healthcare provider administers the PCV15 vaccine to a patient with a history of recurrent ear infections.
9. A pharmacist administers the PCV15 vaccine to a patient with a chronic heart condition.
10. A healthcare provider administers the PCV15 vaccine to a patient with a weakened immune system due to chemotherapy.