CPT Code Lookup Tool
Use this free CPT Lookup Tool to search for Current Procedural Terminology (CPT) codes, descriptions, and related details — designed to help streamline and simplify your medical billing process.
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Office or other outpatient visit
Evaluation and management of an established patient...
Information
This code is for use in medical billing and coding.
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This code is part of the section of CPT codes.
Office or other outpatient visit for the evaluation and management...
Note
This description reflects the 2021 E/M coding guidelines.
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codes are used to report evaluation and management services provided in various settings.
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RVUs are used to determine the fee for a service under the Medicare Physician Fee Schedule.
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This code is commonly used by primary care providers, but may be used by any specialty providing office visits.
Significant, separately identifiable E/M service
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Modifiers provide additional information about the service provided.
Detail About CPT 90473
Related Codes Table
| Code | Description |
|---|---|
| 90460 | Immunization administration through 18 years of age via any route of administration, with counseling by physician or other qualified healthcare professional; first or only component of each vaccine or toxoid administered |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, intramuscular, or jet injection); one vaccine (single or combination vaccine/toxoid) |
| 90472 | Each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure) |
| 90474 | Immunization administration by intranasal or oral route; each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure) |
Commonly Billed With
CPT 90473 is commonly billed with codes such as 90672 (Influenza virus vaccine, quadrivalent live, for intranasal use), 90748 (Measles, mumps and rubella virus vaccine, live, for subcutaneous use), and 90686 (Meningococcal recombinant protein and outer membrane vesicle vaccine).
Clinical Scenarios
Scenario 1: Pediatric Patient
A pediatric patient comes in for their routine immunizations. The provider administers CPT 90473 along with other age-appropriate vaccines.
Scenario 2: Travel Vaccinations
A patient planning international travel requires various vaccinations. CPT 90473 may be used for administering certain vaccines through intranasal or oral routes.
Scenario 3: Allergy Clinic Visit
In an allergy clinic setting, CPT 90473 might be utilized for administering specific allergen immunotherapy through intranasal route.
FAQ
Can CPT 90473 be used for all types of vaccines?
No, CPT 90473 is specifically for immunization administration by intranasal or oral route and may not be suitable for all vaccines.
Is counseling included in the administration of CPT 90473?
Counseling by a physician or qualified healthcare professional is not included in the code description of CPT 90473.
Are there any age restrictions for using CPT 90473?
CPT 90473 can be used for patients of all ages, depending on the specific vaccine being administered via intranasal or oral route.
Can multiple vaccines be billed under CPT 90473?
If multiple vaccines are administered through intranasal or oral routes, each additional vaccine should be reported using an appropriate add-on code like CPT 90474.
What is the difference between CPT 90471 and CPT 90473?
CPT 90471 is used for immunization administration via various injection routes, while CPT 90473 specifically pertains to administration by intranasal or oral route.
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