How To Use CPT Code 90676

CPT 90676 describes the administration of a rabies vaccine intradermally to a patient who has potentially been bitten by an animal with rabies. 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 90676?

CPT 90676 can be used to describe the intradermal administration of a rabies vaccine to a patient who is believed to have been bitten by an animal with rabies. This code is used when the healthcare provider administers the vaccine intradermally, either in the deltoid muscle of the upper arm or in the upper leg muscle for very young or small children.

2. Official Description

The official description of CPT code 90676 is: ‘Rabies vaccine, for intradermal use.’

3. Procedure

1. The healthcare provider presents the options for immunization to the parent, guardian, or patient and reviews the risks, benefits, and potential side effects of the rabies vaccine.
2. The patient is appropriately prepped, and the healthcare provider identifies the site for intradermal administration of the vaccine.
3. The vaccine is administered intradermally, either in the deltoid muscle of the upper arm or in the upper leg muscle for very young or small children.
4. The dosage amounts and schedule of the vaccine depend on the patient’s age, exposure status (pre-exposure or post-exposure), and previous rabies vaccinations.

4. Qualifying circumstances

CPT 90676 is used when a patient is believed to have been bitten by an animal with rabies and requires intradermal administration of the rabies vaccine. The patient may be of any age, and the healthcare provider must determine the appropriate dosage and schedule based on the patient’s specific circumstances.

5. When to use CPT code 90676

CPT code 90676 should be used when a healthcare provider administers the rabies vaccine intradermally to a patient who is believed to have been bitten by an animal with rabies. It is important to note that this code is specific to the intradermal route of administration and should not be used for other routes, such as intramuscular or subcutaneous.

6. Documentation requirements

To support a claim for CPT 90676, the healthcare provider must document the following information:

• Patient’s age and exposure status (pre-exposure or post-exposure)
• Specific site of intradermal administration (deltoid muscle of the upper arm or upper leg muscle)
• Dosage amounts and schedule of the rabies vaccine
• Any previous rabies vaccinations received by the patient

7. Billing guidelines

When billing for CPT 90676, ensure that the healthcare provider administers the rabies vaccine intradermally and follows the appropriate dosage and schedule based on the patient’s age and exposure status. It is important to document the administration route and purpose of the vaccine. Report separate codes for vaccine administration, the actual vaccine, and any associated office visit. Be sure to include sufficient documentation from the provider to support the claim.

8. Historical information

CPT 90676 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 a rabies vaccine intradermally to a patient who was bitten by a raccoon.
2. A nurse administers the rabies vaccine intradermally to a child who was bitten by a stray dog.
3. A physician administers the rabies vaccine intradermally to a patient who was bitten by a bat.
4. A healthcare provider administers the rabies vaccine intradermally to a patient who was bitten by a fox.
5. A nurse administers the rabies vaccine intradermally to a patient who was bitten by a skunk.
6. A physician administers the rabies vaccine intradermally to a patient who was bitten by a cat.
7. A healthcare provider administers the rabies vaccine intradermally to a patient who was bitten by a dog.
8. A nurse administers the rabies vaccine intradermally to a child who was bitten by a ferret.
9. A physician administers the rabies vaccine intradermally to a patient who was bitten by a fox.
10. A healthcare provider administers the rabies vaccine intradermally to a patient who was bitten by a raccoon.