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2025 CPT code 90666

Influenza virus vaccine, pandemic formulation, split virus, preservative free, for intramuscular use

This code is specific to the pandemic formulation, split virus, preservative-free influenza vaccine. Do not use it for other types of influenza vaccines.If a specific vaccine code is unavailable, use the unlisted procedure code.

Modifiers may be applicable in specific circumstances, such as reduced services or discontinued procedures.

Medical necessity is determined by the prevalence of influenza and the patient's risk factors. During a pandemic, the need for this specific formulation would be higher.For patients with preservative allergies, a preservative-free option is medically necessary to avoid adverse reactions.

The healthcare provider prepares the patient, administers the vaccine into the upper arm muscle, and provides counseling on precautions and potential side effects.

In simple words: This is a shot given in the arm to protect against a widespread, severe type of the flu. It's made with parts of the flu virus and doesn't contain preservatives.

This code represents the administration of an influenza virus vaccine specifically designed for pandemics. It is a split virus vaccine, meaning it contains purified antigenic parts of the virus, and is preservative-free, making it suitable for individuals sensitive to preservatives. The vaccine is administered intramuscularly.

Example 1: A patient is concerned about a potential flu pandemic and requests the specific pandemic formulation vaccine., A patient with a known allergy to vaccine preservatives requires a preservative-free flu shot., During a declared pandemic, a patient seeks vaccination at a public health clinic.

Documentation should include the type of vaccine administered (pandemic formulation, split virus, preservative-free), the dosage, the administration route (intramuscular), the site of administration (upper arm), and any patient education provided.It's also beneficial to document the lot number and manufacturer of the vaccine.

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