Subscribe Now!
About CRC
Site Map
Contact Us
About Platinum
Platinum Resources
Core Privileges
Credentialing Primary Source Verification Directory
Benchmarking Reports
Policy and Procedures
Members Resources
Credentialing Resource Center Journal
Clinical Privilege White Papers
Medical Staff Talk
Member Privileging Forms
Free Resources
CRC Blog
Credentialing Resource
Center Insider
Credentialing Links
New Tech Links
Credentialing Primary Source Verification Directory
Visit our sister website for credentials verification help!

Pneumonia vaccine CPT code

Q: I'd like some clarification on the pneumonia vaccination CPT codes, specifically CPT code 90669 that specifies "children under five years of age." Which CPT code would you use for a child who is exactly five years old?

A: Use the child's date of birth as the cut off. This means that if the provider sees the child on his or her birthday, report 90732. The descriptor for this code specifically states, "...for use in individuals two years and older, for subcutaneous or intramuscular use." Be aware that this is the code for the vaccine material itself and not the administration of the vaccine. Report code 90465 for the administration if the physician also counsels the family/patient. Some payers accept G0009 (administration of pneumococcal vaccine when no physician fee schedule service on the same day).

Editor's note: Linda Martien, CPC, CPC-H, of National Healing, Inc., answered this question.

Platinum Privilege Subscribe Now!
Sign up
Core Privilege Plus
The Medical Executive Committee Manual
Give physician leaders the knowledge and tools to confidently and effectively carry out their MEC responsibilities and comply with accreditors’ standards.

CRC Platinum members receive a 20% discount on this product. To receive your discount either log in
or become a member.
About HCPro | Privacy Statement | Contact Us
Copyright © 2015 Credentialing Resource Center.