2025 CPT code 90674
(Active) Effective Date: N/A Revision Date: N/A Vaccine - Vaccines, Toxoids Medicine Feed
Supply of 0.5 mL quadrivalent influenza virus vaccine (cell culture-derived, subunit, preservative and antibiotic-free) for intramuscular injection.
Modifiers may be applicable depending on the circumstances of service, but Modifier 51 is not appropriate in conjunction with administration codes.
Annual influenza vaccination is medically necessary for individuals at high risk of complications from influenza infection, such as the elderly, those with chronic health conditions, and pregnant women.The specific formulation chosen should be documented as medically appropriate for the individual.
The provider's responsibility includes presenting immunization options to the patient or guardian, discussing risks, benefits, and potential side effects, and administering the vaccine.Appropriate documentation is essential.
In simple words: This code covers providing a dose (0.5 mL) of a flu shot that protects against four types of flu.It's a specific type of flu shot that doesn't contain preservatives or antibiotics.
This CPT code represents the supply of 0.5 mL of a quadrivalent influenza virus vaccine.The vaccine is derived from cell cultures, is a subunit vaccine, and is free from preservatives and antibiotics. It is intended for intramuscular administration.This code is for the supply of the vaccine only; separate codes are required for administration and any related office visit.
Example 1: A 55-year-old patient presents for their annual influenza vaccination. The physician orders Flucelvax Quadrivalent and administers 0.5 mL intramuscularly.Code 90674 is reported for the vaccine supply., A clinic stocks multiple influenza vaccines and provides Flucelvax Quadrivalent to a 60-year-old patient who requests a preservative-free option.Code 90674 is billed to reflect supply.Administration would require an additional code., A patient with a history of allergic reactions to vaccine preservatives receives Flucelvax Quadrivalent. Documentation needs to explicitly state the preservative-free nature of the vaccine and any other relevant precautions taken. Code 90674 is used for billing purposes, along with administration codes.
Complete patient demographics, vaccine lot number, administration route (intramuscular), injection site, date of administration, and provider signature.Documentation should specify that the vaccine is quadrivalent, cell-culture derived, subunit, and preservative and antibiotic-free.
** This code should be used in conjunction with appropriate administration codes (e.g., 90460-90474, 90480) unless only the vaccine supply is being billed.Always refer to the most current CPT and payer guidelines.
- Payment Status: Active
- Modifier TC rule: A technical component (TC) modifier is not applicable to this code, as it represents the supply of the vaccine, not the administration.
- Specialties:Family Medicine, Internal Medicine, Pediatrics, Infectious Disease
- Place of Service:Office, Clinic, Pharmacy,Other Place of Service (depending on state and payer rules)