How To Use CPT Code 90687

CPT 90687 describes the administration of a quadrivalent influenza virus vaccine, in a 0.25 mL dose, for intramuscular use. 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 90687?

CPT 90687 can be used to describe the administration of a quadrivalent influenza virus vaccine, in a 0.25 mL dose, for intramuscular use. This code is used when a healthcare provider injects the vaccine into the muscle of a patient to provide immunity against four different strains of the influenza virus.

2. Official Description

The official description of CPT code 90687 is: ‘Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.25 mL dosage, for intramuscular use.’

3. Procedure

1. The healthcare provider prepares the patient for the administration of the influenza vaccine.
2. The provider selects the appropriate dose of the quadrivalent influenza virus vaccine, which is 0.25 mL.
3. The provider administers the vaccine by injecting it into the muscle of the patient, either in the deltoid muscle of the upper arm or the anterolateral aspect of the thigh.
4. The patient may be provided with information about the risks, benefits, potential side effects, and instructions for post-vaccination care.
5. The provider documents the administration of the vaccine, including the date, dosage, and route of administration.

4. Qualifying circumstances

CPT 90687 is used for patients who require immunization against four forms of the influenza virus. This vaccine is typically administered to individuals who are at risk of contracting influenza or who want to protect themselves from the disease. The vaccine is suitable for patients of various age groups, including children and adults.

5. When to use CPT code 90687

CPT code 90687 should be used when a healthcare provider administers the quadrivalent influenza virus vaccine, in a 0.25 mL dose, for intramuscular use. It is important to ensure that the vaccine is administered according to the appropriate dosage and route of administration specified in the code description.

6. Documentation requirements

To support a claim for CPT 90687, the healthcare provider must document the following information:

• Date of administration
• Dosage of the vaccine (0.25 mL)
• Route of administration (intramuscular)
• Any relevant patient information, such as age or medical history
• Any instructions or information provided to the patient regarding the vaccine

7. Billing guidelines

When billing for CPT 90687, ensure that the vaccine is administered according to the specified dosage and route of administration. It is important to follow the guidelines provided by the payer and to include all necessary documentation to support the claim. Additionally, be aware of any specific requirements or restrictions related to the administration of the vaccine, such as age limitations or medical necessity.

8. Historical information

CPT 90687 was added to the Current Procedural Terminology system on January 1, 2014. Since its addition, there have been two code changes, one in 2016 and another in 2017, which expanded the age range for administration of the vaccine.

9. Examples

1. A healthcare provider administers the quadrivalent influenza virus vaccine to a 40-year-old patient to protect against four different strains of the influenza virus.
2. A nurse administers the quadrivalent influenza virus vaccine to a 6-month-old infant to provide immunity against four forms of the influenza virus.
3. A pharmacist administers the quadrivalent influenza virus vaccine to a 65-year-old patient to protect against four different strains of the influenza virus.
4. A healthcare provider administers the quadrivalent influenza virus vaccine to a 25-year-old pregnant woman to provide immunity against four forms of the influenza virus.
5. A pediatrician administers the quadrivalent influenza virus vaccine to a 4-year-old child to protect against four different strains of the influenza virus.
6. A healthcare provider administers the quadrivalent influenza virus vaccine to a 50-year-old patient with a chronic medical condition to provide immunity against four forms of the influenza virus.
7. A nurse administers the quadrivalent influenza virus vaccine to a 70-year-old patient to protect against four different strains of the influenza virus.
8. A pharmacist administers the quadrivalent influenza virus vaccine to a 12-year-old adolescent to provide immunity against four forms of the influenza virus.
9. A healthcare provider administers the quadrivalent influenza virus vaccine to a 30-year-old patient to protect against four different strains of the influenza virus.
10. A pediatrician administers the quadrivalent influenza virus vaccine to a 2-year-old toddler to provide immunity against four forms of the influenza virus.