Influenza virus vaccine, quadrivalent, live, for intranasal use
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Clinical Information
When to Use
Influenza quadrivalent live vaccine, intranasal
Common Scenarios
Documentation Requirements
- Vaccine product documented
- Route documented (intranasal)
- Patient response
Coding Guidelines
Common Modifiers
Bundling Rules
- Vaccine product code
- Intranasal route
- Bill separately from administration
Exclusions
- Do not bill with administration included
- Do not bill if injectable route
Coding Notes
Clinical scenarios
- Vaccine product documented
- Route documented (intranasal)
- Patient response
- Vaccine product documented
- Route documented (intranasal)
- Patient response
- Vaccine product documented
- Route documented (intranasal)
- Patient response
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Code Details
Medicare Pricing
PFSRVU Breakdown
OPPS Details
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Ask a QuestionFrequently Asked Questions
CPT 90672 is the billing code for "Influenza virus vaccine, quadrivalent, live, for intranasal use". Influenza quadrivalent live vaccine, intranasal
Key documentation requirements for CPT 90672 include: Vaccine product documented; Route documented (intranasal); Patient response. Missing or incomplete documentation is a leading cause of claim denials for this code.
Bundling considerations for CPT 90672: Vaccine product code. Intranasal route Use an NCCI bundling checker to verify specific code combinations before billing.
Common modifiers for CPT 90672 include: 59 (Distinct procedural service). Modifiers indicate special circumstances and can affect reimbursement or prevent claim denials.
The typical time requirement for CPT 90672 is Vaccine product code. Time-based codes require documentation of the actual time spent providing the service.