2025 CPT code 90694

Administration of a quadrivalent, adjuvanted, preservative-free influenza virus vaccine (aIIV4), 0.5 mL, intramuscular.

Follow all applicable CPT and payer-specific coding guidelines.Report separately the administration code (e.g., 90460, 90471) from the vaccine product code (90694). Do not report both components of a combination vaccine separately.

Modifiers may be applicable depending on the circumstances of service. Consult payer-specific guidelines for modifier usage.

Annual influenza vaccination is medically necessary for individuals at high risk of complications from influenza, such as older adults, pregnant women, and those with chronic health conditions.It is also recommended for healthcare workers and other individuals who are in close contact with vulnerable populations to prevent the spread of infection.

The provider must obtain informed consent, explain the risks and benefits of the vaccination, provide pre- and post-vaccination instructions, and administer the vaccine correctly via intramuscular injection.

IMPORTANT Other influenza vaccine codes (90630-90668, 90672-90674, 90682-90689, 90756) may be applicable depending on the specific vaccine administered.HCPCS codes Q2034-Q2039 may also be relevant.

In simple words: This code covers a flu shot that protects against four types of flu.The shot is given as a muscle injection.

This CPT code, 90694, represents the administration of a 0.5 mL dose of a quadrivalent, inactivated, adjuvanted, and preservative-free influenza virus vaccine (aIIV4) via intramuscular injection.The vaccine is specifically designed to provide immunity against four strains of the influenza virus.Appropriate documentation should include the vaccine's name, manufacturer, lot number, and administration details (site, route, and date).

Example 1: A 65-year-old patient receives their annual influenza vaccination,aIIV4 (quadrivalent, adjuvanted, preservative-free influenza vaccine), administered intramuscularly in the deltoid region.The provider documents the vaccine's name and lot number, the administration site, and provides post-vaccination instructions., A healthcare worker receives their annual influenza vaccination (aIIV4) in an occupational health clinic. The provider ensures proper documentation including vaccine information, administration details, and the patient's medical record., A pregnant woman receives an influenza vaccine, the provider takes extra precaution noting relevant information about the vaccine and patient's pregnancy stage. The provider documents all relevant information and any relevant cautions, for example, information on the adjuvant.

Complete documentation should include the type of vaccine administered (including manufacturer, lot number, and expiration date), the date of administration, the route of administration (intramuscular), the site of administration, and any adverse reactions observed.Patient demographics and relevant medical history should also be documented.

** Always refer to the most current CPT codebook and payer-specific guidelines for the most accurate coding and billing practices.Be aware that vaccine codes and descriptions may be updated periodically to reflect current recommendations. The information provided here is for guidance only and should not be considered legal or medical advice.

  • Payment Status: Active
  • Modifier TC rule: A technical component (TC) modifier may not be applicable to this code.
  • Specialties:Family Medicine, Internal Medicine, Pediatrics, Occupational Medicine
  • Place of Service:Office, Clinic, Hospital, Occupational Health Clinic
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