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2025 CPT code 90655

Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.25 mL dosage, for intramuscular use

Report this code in addition to the appropriate administration code (e.g. 90460, 90461). Do not report this code with SARS-CoV-2 vaccine codes (91304, 91318-91322) unless both vaccines are administered.

Modifiers such as 33 (Preventive Services), 52 (Reduced Services), 53 (Discontinued Procedure), and others may apply depending on the specific circumstances.

Influenza vaccination is recommended annually for most individuals over 6 months old to prevent or reduce severity of influenza infection.

The provider discusses immunization options, risks, benefits, and side effects with the parent/guardian/patient. They obtain consent, prepare the patient, and administer the vaccine intramuscularly.

IMPORTANT For a 0.5 mL dosage, use 90656. For a 0.25 mL dosage with preservative, use 90657. For other influenza vaccines, see codes 90476-90756.

In simple words: A flu shot given in the muscle of a child between 6 and 35 months old. This shot helps protect against three common types of the flu virus. It is specially formulated without preservatives.

This code represents the administration of a 0.25 mL dose of a trivalent, split-virus, preservative-free influenza vaccine injected intramuscularly. It is intended for patients 6-35 months of age.

Example 1: A healthy 2-year-old child receives their annual flu shot during a well-child visit., A 10-month-old with a history of asthma receives the preservative-free influenza vaccine., A 3-year-old child receives their first dose of the influenza vaccine.

Documentation should include vaccine product, dosage, administration route, site of injection, lot number, manufacturer, and any adverse reactions.

** Ensure appropriate consent is obtained and documented. Provide vaccine information sheets (VIS) to the patient/guardian.

** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.

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iFrame™ AI's knowledge is aligned with and limited to the materials uploaded by users and should not be interpreted as medical, legal, or any other form of advice by iFrame™.