How To Use CPT Code 90713

CPT 90713 describes the administration of an inactivated poliovirus vaccine either subcutaneously or intramuscularly to prevent the patient from getting polio. 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 90713?

CPT 90713 can be used to describe the administration of an inactivated poliovirus vaccine to protect against polio. The vaccine is given either subcutaneously or intramuscularly, typically in the deltoid muscle of the upper arm or in the leg. It is important for the provider to present the parent, guardian, or patient with the options for immunization and review the risks, benefits, and potential side effects before administering the vaccine.

2. Official Description

The official description of CPT code 90713 is: ‘Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use.’

3. Procedure

1. The provider presents the parent, guardian, or patient with the options for immunization and reviews the risks, benefits, and potential side effects.
2. The provider administers the inactivated poliovirus vaccine either subcutaneously or intramuscularly in the deltoid muscle of the upper arm or in the leg.
3. The provider administers three doses of IPV, typically at two months, four months, and six to 18 months.

4. Qualifying circumstances

CPT 90713 is used for patients who require protection against polio. It is important to note that the patient must receive the vaccine from a qualified healthcare professional. The vaccine is administered either subcutaneously or intramuscularly, and the patient must receive three doses at the appropriate intervals.

5. When to use CPT code 90713

CPT code 90713 should be used when the provider administers the inactivated poliovirus vaccine either subcutaneously or intramuscularly to protect against polio. It is important to follow the recommended schedule for administering the vaccine, typically at two months, four months, and six to 18 months.

6. Documentation requirements

To support a claim for CPT 90713, the provider must document the following information:

• The product administered (inactivated poliovirus vaccine)
• The administration route (subcutaneous or intramuscular)
• The purpose of the vaccine (protection against polio)

7. Billing guidelines

When billing for CPT 90713, ensure that the provider administers the inactivated poliovirus vaccine either subcutaneously or intramuscularly. It is important to follow the recommended schedule for administering the vaccine. Check with individual payers for their specific guidelines on reporting vaccines and any associated evaluation and management (E/M) codes.

8. Historical information

CPT 90713 was added to the Current Procedural Terminology system on January 1, 1990. There have been a few historical changes to the code, including updates to the description and the addition of notes.

9. Examples

1. A pediatrician administering the inactivated poliovirus vaccine to a two-month-old infant subcutaneously.
2. A family medicine physician administering the inactivated poliovirus vaccine to a four-month-old infant intramuscularly.
3. A nurse practitioner administering the inactivated poliovirus vaccine to a six-month-old infant subcutaneously.
4. A pediatrician administering the inactivated poliovirus vaccine to a 12-month-old toddler intramuscularly.
5. A family medicine physician administering the inactivated poliovirus vaccine to an 18-month-old child subcutaneously.
6. A nurse practitioner administering the inactivated poliovirus vaccine to a six-year-old child intramuscularly.
7. A pediatrician administering the inactivated poliovirus vaccine to a 12-year-old adolescent subcutaneously.
8. A family medicine physician administering the inactivated poliovirus vaccine to a 16-year-old adolescent intramuscularly.
9. A nurse practitioner administering the inactivated poliovirus vaccine to a 60-year-old adult subcutaneously.
10. A pediatrician administering the inactivated poliovirus vaccine to a 65-year-old adult intramuscularly.