How To Use CPT Code 90690

CPT 90690 describes the administration of live typhoid vaccine by mouth to prevent typhoid fever. 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 90690?

CPT 90690 can be used to describe the administration of live typhoid vaccine by mouth to prevent typhoid fever. This code is used when the healthcare provider administers the vaccine orally to the patient, typically in the form of capsules. The vaccine is given in a series of four doses, with each dose taken every other day. The purpose of the vaccine is to provide long-term protection against typhoid fever caused by Salmonella typhi.

2. Official Description

The official description of CPT code 90690 is: ‘Typhoid vaccine, live, oral.’

3. Procedure

1. The healthcare provider presents the options for immunization to the parent, guardian, or patient.
2. The risks, benefits, and potential side effects of the vaccine are reviewed with the patient.
3. The patient takes the vaccine orally, typically in the form of capsules.
4. The patient takes one capsule every other day to complete four doses.
5. The vaccine should be administered at least one week prior to potential exposure to Salmonella typhi for maximum protection.

4. Qualifying circumstances

Patients eligible to receive CPT 90690 are those who require protection against typhoid fever caused by Salmonella typhi. The vaccine is typically administered to individuals who may be at risk of exposure to the bacteria, such as those traveling to areas where typhoid fever is endemic. The vaccine is suitable for both children and adults.

5. When to use CPT code 90690

CPT code 90690 should be used when a healthcare provider administers the live typhoid vaccine orally to a patient. It is important to follow the recommended dosage schedule and administer the vaccine at least one week prior to potential exposure to Salmonella typhi for maximum protection. This code should not be used for other forms of typhoid vaccines or for vaccines used to prevent other diseases.

6. Documentation requirements

To support a claim for CPT 90690, the healthcare provider must document the following information:

• Administration of live typhoid vaccine by mouth
• Date of administration
• Number of doses administered
• Instructions given to the patient regarding the dosage schedule
• Signature of the healthcare provider administering the vaccine

7. Billing guidelines

When billing for CPT 90690, ensure that the healthcare provider administers the live typhoid vaccine orally to the patient. It is important to follow the recommended dosage schedule and administer the vaccine at least one week prior to potential exposure to Salmonella typhi for maximum protection. CPT code 90690 should not be reported with other codes unless there are specific circumstances that warrant additional codes. It is advisable to check with individual payers for their specific guidelines on reporting vaccines and associated codes.

8. Historical information

CPT 90690 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 the live typhoid vaccine orally to a patient who is traveling to a region where typhoid fever is endemic.
2. A nurse administers the live typhoid vaccine orally to a child who will be attending a school in an area with a high incidence of typhoid fever.
3. A travel clinic provides the live typhoid vaccine orally to a group of individuals who are planning a trip to a country with a high risk of typhoid fever.
4. A healthcare provider administers the live typhoid vaccine orally to a patient who will be working in a healthcare facility where there have been cases of typhoid fever.
5. A physician administers the live typhoid vaccine orally to a patient who will be participating in a medical mission trip to a region with a high prevalence of typhoid fever.
6. A healthcare provider administers the live typhoid vaccine orally to a patient who has a compromised immune system and is at a higher risk of developing severe complications from typhoid fever.
7. A nurse administers the live typhoid vaccine orally to a patient who will be visiting family in a country where typhoid fever is endemic.
8. A travel clinic provides the live typhoid vaccine orally to a group of individuals who will be participating in a volunteer program in a region with a high incidence of typhoid fever.
9. A healthcare provider administers the live typhoid vaccine orally to a patient who will be working in a refugee camp where there is a risk of typhoid fever outbreak.
10. A physician administers the live typhoid vaccine orally to a patient who will be traveling to a region with a high prevalence of typhoid fever for a business conference.