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.

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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.

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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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Author

  • Jitendra M.Sc CPC

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