cpt 90694, cpt code 90694, 90694 cpt code

CPT Code 90694 | Description, Procedure & Billing Guidelines (2022)

Report CPT code 90694 for an influenza virus vaccine of 0.5 mL with four strains, protecting the patient against four flu viruses.

1. What Is CPT Code 90694?

CPT 90694 covers a 0.5mL influenza virus vaccine containing four different strains. The influenza vaccine is administered intramuscularly (into the patient’s muscles) and aims to protect them from four types of influenza virus.

The influenza virus vaccine is derived from cell cultures of a dead influenza virus and does not contain preservatives, and increases the patient’s immune response to the virus.

2. Description

The CPT book defines the official description of CPT code 90694 as: “Influenza virus vaccine, quadrivalent (aIIV4), inactivated, adjuvanted, preservative-free, 0.5 mL dosage, for intramuscular use.”

3. Procedure

The provider begins the 90694 CPT code procedure by informing the patient, guardians, and/or parents about immunization options for the influenza virus.

They explain possible side effects of the influenza virus vaccine, talk about the risks and benefits and provide them with precautions and instructions before administering the vaccine.

Next, the provider injects 0.5 mL of the vaccine into the patient’s deltoid muscle in the upper arm or the anterolateral aspect of the thigh.

Finally, they cover the injection site with a plaster and end the vaccination procedure.

4. How To Use CPT 90694

CPT code 90694 can only be used for the flu vaccine. Report administration and the office visit separately. Inform the payer about the way the vaccine is administered was administered and its route and purpose of it.

According to CMS, MACs have to allow administering the pneumococcal polysaccharide vaccine (PPV) on the same date as CPT 90694.

There are many different flu vaccines. Instead of CPT code 90694, you can also bill CPT 90630 to CPT 90668, CPT 90672 to CPT 90674, CPT 90682 to CPT 90689, and CPT 90756. You may also report the HCPCS codes Q2034, Q2035, Q2036, Q2037, Q2038, or Q2039.

5. Resources

CPT Professional 2022

https://www.hhs.gov/guidance/document/flu-shot-coding-0

https://www.cms.gov/flu-provider

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