Adenovirus vaccine, type 4 and type 7, live, oral
Relative Value Units (RVUs)
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Clinical Information
When to Use
Adenovirus vaccine, type 4 and type 7, live, oral vaccine product
Common Scenarios
Documentation Requirements
- Vaccine product documented
- Route of administration documented
- Patient response to vaccination
Coding Guidelines
Common Modifiers
Bundling Rules
- Vaccine product code
- Bill separately from administration
- May be billed with administration code
Exclusions
- Do not bill with administration included
- Do not bill if vaccine not administered
Coding Notes
Clinical scenarios
- Vaccine product documented
- Route of administration documented
- Patient response to vaccination
- Vaccine product documented
- Route of administration documented
- Patient response to vaccination
- Vaccine product documented
- Route of administration documented
- Patient response to vaccination
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Code Details
Medicare Pricing
PFSRVU Breakdown
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Ask a QuestionFrequently Asked Questions
CPT 90476 is the billing code for "Adenovirus vaccine, type 4 and type 7, live, oral". Adenovirus vaccine, type 4 and type 7, live, oral vaccine product
Key documentation requirements for CPT 90476 include: Vaccine product documented; Route of administration documented; Patient response to vaccination. Missing or incomplete documentation is a leading cause of claim denials for this code.
Bundling considerations for CPT 90476: Vaccine product code. Bill separately from administration Use an NCCI bundling checker to verify specific code combinations before billing.
Common modifiers for CPT 90476 include: 59 (Distinct procedural service when multiple procedures performed). Modifiers indicate special circumstances and can affect reimbursement or prevent claim denials.
The typical time requirement for CPT 90476 is Vaccine product code, administration time varies. Time-based codes require documentation of the actual time spent providing the service.