2025 CPT code 90682

Influenza virus vaccine, quadrivalent (RIV4), recombinant DNA-derived hemagglutinin (HA) protein only, preservative and antibiotic-free, for intramuscular use.

Refer to the CPT guidelines for immunization coding.Ensure proper documentation supports the medical necessity and appropriateness of the vaccine selection and administration.

Modifiers may be applicable in certain situations (e.g., for reduced services, repeat procedures, or other qualifying circumstances).However, modifier 51 is specifically excluded when used with the administration codes.

Annual influenza vaccination is medically necessary to prevent influenza infection, particularly for high-risk individuals (elderly, pregnant women, those with chronic illnesses).The specific type of vaccine is selected based on patient characteristics and potential contraindications.Medical necessity documentation should justify the selection of this particular vaccine and administration.

The provider's responsibilities include patient education on the vaccine (benefits, risks, and side effects), proper administration of the vaccine via intramuscular injection, and post-injection monitoring for adverse reactions.

IMPORTANT Other influenza vaccine codes exist (e.g., 90662, 90672, 90674, 90686) depending on the vaccine type and manufacturer.If a specific vaccine code is unavailable, use the unlisted procedure code.

In simple words: This code is for a flu shot that protects against four types of influenza (the flu).It's a special type of flu shot made using a lab process and doesn't have preservatives or antibiotics. The shot is given in the muscle.

CPT code 90682 represents the administration of a quadrivalent influenza virus vaccine (RIV4) produced using recombinant DNA technology.The vaccine contains only the hemagglutinin (HA) protein, is preservative-free and antibiotic-free, and is intended for intramuscular injection.This code is used to bill for the vaccine product itself, and it must be used in conjunction with an immunization administration code (e.g., 90460, 90461, 90471, 90472, 90473, or 90474) to accurately reflect the complete service rendered.

Example 1: A 65-year-old patient presents for their annual influenza vaccination.The physician administers the Flublok Quadrivalent (90682) vaccine intramuscularly after reviewing the risks and benefits.Documentation includes the vaccine's name, lot number, administration site, date, and any post-injection reactions., A healthy 30-year-old patient receives a Flublok Quadrivalent influenza vaccination (90682) at a walk-in clinic.The nurse practitioner administers the injection and documents the patient's response. The patient's medical record includes informed consent documentation., A pregnant woman receives the Flublok Quadrivalent influenza vaccine (90682) intramuscularly during a prenatal visit. The provider discusses the benefits and risks of vaccination during pregnancy and ensures the patient understands potential side effects.The documentation includes confirmation of the pregnancy and appropriate consent.

* Patient's demographics and relevant medical history.* Vaccine administration site and route (intramuscular).* Vaccine product name (Flublok Quadrivalent), manufacturer, lot number, and expiration date.* Date of administration.* Patient's response to the vaccination (any immediate adverse reactions).* Informed consent documentation.

** This code should only be reported once per encounter, even if multiple doses are administered simultaneously. Always refer to the most current CPT codebook and payer guidelines for the most accurate coding and reimbursement information.

  • Revenue Code: O1G (Influenza Immunization)
  • RVU: The RVUs for this code vary by payer and location. Consult the relevant fee schedule for specific values.Payment allowance data for the 2023-2024 flu season shows a national payment allowance of $73.403.
  • Global Days : This is not a surgical procedure, so a global period doesn't apply.
  • Payment Status: Active
  • Modifier TC rule: A technical component (TC) modifier is not applicable to this code as it represents the vaccine product itself, not a technical component of a procedure.
  • Fee Schedule : The national payment allowance for this code was $73.403 for the 2023-2024 flu season (08/01/2023 – 07/31/2024). Historical fee schedule data may vary by payer and location.
  • Specialties:Family Medicine, Internal Medicine, Pediatrics, Infectious Disease
  • Place of Service:Office, Clinic, Hospital (Inpatient or Outpatient), Ambulatory Surgical Center
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