How To Use CPT Code 90758

CPT 90758 describes the administration of a live vaccine for protection against Zaire ebolavirus. 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 90758?

CPT 90758 represents the administration of a live vaccine to protect against Zaire ebolavirus. This vaccine is given intramuscularly to reduce the patient’s risk of contracting Ebola virus disease caused by Zaire ebolavirus. The symptoms of this disease may include fever, weakness, gastrointestinal distress, and unexplained hemorrhaging. The vaccine triggers an immune response to the virus, providing long-term protection to the patient.

2. Official Description

The official description of CPT code 90758 is: ‘Zaire ebolavirus vaccine, live, for intramuscular use.’

3. Procedure

1. The healthcare provider administers the Zaire ebolavirus vaccine intramuscularly to the patient.
2. The vaccine is given to reduce the patient’s risk of contracting Ebola virus disease caused by Zaire ebolavirus.
3. The route of administration is intramuscular, meaning the vaccine is injected into the muscle.
4. The provider performs a separately reportable administration of the vaccine.

4. Qualifying circumstances

CPT 90758 is used when a patient receives the Zaire ebolavirus vaccine to reduce their risk of contracting Ebola virus disease caused by Zaire ebolavirus. The vaccine is most commonly administered in areas of sub-Saharan Africa where the virus is prevalent. The patient may experience symptoms such as fever, weakness, gastrointestinal distress, and unexplained hemorrhaging. The vaccine is administered by a healthcare provider to provide long-term protection against the virus.

5. When to use CPT code 90758

CPT code 90758 should be used when a healthcare provider administers the Zaire ebolavirus vaccine intramuscularly to a patient. This code is appropriate for reporting the administration of the vaccine and should be used in conjunction with a separate code for the vaccine product itself.

6. Documentation requirements

To support a claim for CPT 90758, the healthcare provider must document the following information:

• Patient’s risk of contracting Ebola virus disease caused by Zaire ebolavirus
• Date and time of the vaccine administration
• Route of administration (intramuscular)
• Signature of the healthcare provider performing the administration

7. Billing guidelines

When billing for CPT 90758, ensure that the healthcare provider is administering the Zaire ebolavirus vaccine intramuscularly. Report a separate code for the vaccine product itself. It is important to follow any specific billing guidelines provided by the payer or insurance company. Additionally, consider any applicable modifiers that may be required for accurate billing.

8. Historical information

CPT 90758 was added to the Current Procedural Terminology system on July 1, 2021. There have been no updates or changes to the code since its addition.

9. Examples

1. A healthcare provider administers the Zaire ebolavirus vaccine intramuscularly to a patient who is at high risk of contracting Ebola virus disease caused by Zaire ebolavirus.
2. A nurse administers the Zaire ebolavirus vaccine to a patient who will be traveling to a region where the virus is prevalent.
3. A physician administers the Zaire ebolavirus vaccine intramuscularly to a patient who will be working in a healthcare setting with potential exposure to the virus.
4. A healthcare provider administers the Zaire ebolavirus vaccine to a patient who has had close contact with an individual diagnosed with Ebola virus disease caused by Zaire ebolavirus.
5. A nurse administers the Zaire ebolavirus vaccine intramuscularly to a patient who is part of a clinical trial for the vaccine.
6. A physician administers the Zaire ebolavirus vaccine to a patient who is a healthcare worker in a region where the virus is prevalent.
7. A healthcare provider administers the Zaire ebolavirus vaccine intramuscularly to a patient who is a first responder in a region where the virus is prevalent.
8. A nurse administers the Zaire ebolavirus vaccine to a patient who is a laboratory worker handling specimens potentially contaminated with the virus.
9. A physician administers the Zaire ebolavirus vaccine intramuscularly to a patient who is a researcher studying the virus.
10. A healthcare provider administers the Zaire ebolavirus vaccine to a patient who is a family member of an individual diagnosed with Ebola virus disease caused by Zaire ebolavirus.