Medical Coding

Category - Medicine

A 6-year-old boy needs to have his influenza vaccine for the 2016 flu season. What is the correct CPT code(s) for nasal administration of the quadrivalent influenza vaccine, where the physician counsels the parents about the administration route?
  1. 90460, 90660
  2. 90471, 90672
  3. 90473, 90660
  4. 90460, 90672
Explanation
Answer: D - 90460, 90672 is the correct code sequence for this vaccine. Code 90460 is the correct code for immunization administration through 18 years of age by any route, with counseling from the physician. Code 90672 is the correct code for quadrivalent live, intranasal influenza vaccine.

Code 90660 is incorrect because this code is for the live trivalent intranasal influenza vaccine. Code 90471 is incorrect because this code is for immunization administration of greater than 19 years old via percutaneous, intradermal, subcutaneous, or intramuscular injection. Code 90473 is incorrect because this code is for immunization administration by intranasal or oral route, but is not specific to pediatrics.
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