Billing Vaccinations: New, Revised & Deleted CPT Codes for 2013

Billing Vaccinations: New, Revised & Deleted CPT Codes for 2013

Vaccination Changes – Effective January 1, 2013

Influenza

New Codes:

· 90653-Influenza virus vaccine, inactivated, subunit, adjuvanted, for intramuscular use

· 90672-Influenza virus vaccine, quadrivalent, live, for intranasal use

· 90685-Influenza virus vaccine, quadrivalent, split virus, preservative free, when administered to children 6-35 months of age, for intramuscular use

· 90686-Influenza virus vaccine, quadrivalent, split virus, preservative free, when administered to individuals 3 years of age and older, for intramuscular use

· 90687-Influenza virus vaccine, quadrivalent, split virus, when administered to children 6-35 months of age, for intramuscular use

· 90688-Influenza virus vaccine, quadrivalent, split virus, when administered to individuals 3 years of age and older, for intramuscular use

Note: quadrivalent “conferring immunity to four different pathogenic strains or species”

Revised Codes:

Codes 90655, 90656, 90657, 90658, and 90660 will include the term “trivalent”.

· 90655-Influenza virus vaccine, trivalent, split virus, preservative free, when administered to children 6-35 months of age, for intramuscular use

· 90656-Influenza virus vaccine, trivalent, split virus, preservative free, when administered to individuals 3 years and older, for intramuscular use

· 90657-Influenza virus vaccine, trivalent, split virus, when administered to children 6-35 months of age, for intramuscular use

· 90657-Influenza virus vaccine, trivalent, split virus, when administered to children 6-35 months of age, for intramuscular use

· 90658-Influenza virus vaccine, trivalent, split virus, when administered to individuals 3 years of age and older, for intramuscular use

· 90660-Influenza virus vaccine, trivalent, live, for intranasal use

Note: trivalent “conferring immunity to three different pathogenic strains or species”

Hepatitis

New Code:

· 90739 – Hepatitis B vaccine, adult dosage (2 dose schedule), for intramuscular use

Revised Code:

· 90746 – Hepatitis B vaccine, adult dosage (3 dose schedule), for intramuscular use

Lyme Disease

Deleted Code:

· 90665 – Lyme disease vaccine, adult dosage, for intramuscular use

Diptheria, Tetanus

Deleted Codes:

· 90701 – Diphtheria, tetanus toxoids, and whole cell pertussis vaccine (DTP), for intramuscular use

· 90718 – Tetanus and diphtheria toxoids (Td) adsorbed when administered to individuals 7 years or older, for intramuscular use

Source: AMA CPT Category I New & Revised Codes CPT 2013 and 2014.

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