2025 CPT code 90630
(Active) Effective Date: N/A Revision Date: N/A Medicine Services and Procedures - Vaccines, Toxoids Medicine Feed
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative-free, for intradermal use.
Modifiers may be applicable depending on the specific circumstances of the encounter.For instance, if the service was performed in a medically underserved area, a modifier may be needed.Always consult the most recent coding guidelines for applicable modifiers.
Annual influenza vaccination is recommended for individuals over six months of age to prevent influenza infection.Specific recommendations vary based on patient risk factors and CDC guidelines. Documentation supporting medical necessity should include the patient’s age, risk factors, and the physician’s rationale for administering the vaccine.
The provider administers the vaccine, explains the risks and benefits, and obtains informed consent.Appropriate documentation of the vaccine administered, route, and justification is crucial.
In simple words: This code is for giving a flu shot.The shot protects against four types of flu and is given just under the skin.It does not contain preservatives.
This CPT code, 90630, represents the administration of a quadrivalent influenza virus vaccine (IIV4) that is split-virus, preservative-free, and intended for intradermal administration.The vaccine protects against four strains of the influenza virus.This code should be reported in conjunction with an immunization administration code (e.g., 90460-90474) to reflect both the product and administration.Modifier 51 should not be used with this code when used with administration codes.
Example 1: A 65-year-old patient presents for their annual influenza vaccination. The physician administers the IIV4 intradermally.Code 90630 is reported along with an appropriate administration code and an office visit code, if applicable., A 25-year-old patient requests an intradermal influenza vaccine due to a history of syncope following intramuscular injections. The physician administers the IIV4 intradermally and documents the reason for the chosen route. Code 90630 is reported with appropriate codes for administration and the office visit., A health clinic offers a community influenza vaccination clinic.Multiple patients receive the IIV4 intradermally.Code 90630 is reported for each patient, along with the appropriate administration code.
* Patient demographics and encounter details.* Vaccine administered (90630).* Administration route (intradermal).* Documentation of patient education regarding risks and benefits.* Consent for vaccination.* Lot number and expiration date of the vaccine.
** Always refer to the most current CPT codebook and coding guidelines for the most up-to-date information and clarification.
- Revenue Code: O1G (Influenza Immunization)
- Payment Status: Active
- Modifier TC rule: A technical component (TC) modifier does not apply to this code.
- Specialties:Family Medicine, Internal Medicine, Pediatrics, Geriatrics, Occupational Medicine
- Place of Service:Office, Clinic, Hospital, Mobile Unit, Other Place of Service