CPT code 90670 : Coding tips

Description of CPT code 90670

Pneumococcal vaccine provides protection against infections of the lungs, blood, and brain. A vaccine produces active immunization by inducing the immune system to build its own antibodies against specific microorganisms/viruses. The body retains memory of the antibody production pattern for long-term protection. CPT code 90670 describes an active suspension conjugate vaccine for intramuscular use. Report this code for supply of the 13 valent (PCV13) variety.

90670 Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use

Codes 90460 and 90461 must be reported in addition to the vaccine and toxoid codes 90476-90749

Report codes 90460-90461 only when the physician or qualified health care professional provides faceto-face counseling of the patient and family during the administration of a vaccine. For immunization administration of any vaccine that is not accompanied by face-to-face physician or qualified health care professional counseling to the patient/family for administration of vaccines to patients over 18 years of age, report codes 90471-90474.

Codes 90476-90758 identify the vaccine product only. To report the administration of a vaccine/toxoid, the vaccine/toxoid product codes 90476-90758 must be used in addition to an immunization administration codes 90460-90474.

 

Related CPT codes

90671 Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use

90677 Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use

Example:

Coding for a two-month-old infant Pneumococcal conjugate vaccine with counseling  as follows:

Admin: 90460

Vaccine: 90670

 

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