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.
Information
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 90680
Related Codes Table
| Code | Description |
|---|---|
| 90681 | Rotavirus vaccine, monovalent, 2 dose schedule |
| 90682 | Rotavirus vaccine, monovalent, 3 dose schedule |
| 90733 | Rotavirus vaccine, pentavalent, 2 dose schedule |
| 90734 | Rotavirus vaccine, pentavalent, 3 dose schedule (booster) |
Commonly Billed With
CPT code 90680 is commonly billed with diagnosis codes such as V04.81 (Need for prophylactic vaccination and inoculation against rotavirus gastroenteritis) and Z23 (Encounter for immunization).
Clinical Scenarios
Patient Receiving First Dose of Rotavirus Vaccine
In this scenario, report CPT code 90680 for the administration of the first dose of the pentavalent rotavirus vaccine.
Patient Completing Full Schedule of Rotavirus Vaccination
If a patient completes the full 3-dose schedule of the pentavalent rotavirus vaccine, report CPT code 90680 for each administration.
Patient Requiring Booster Dose
If a patient requires a booster dose of the pentavalent rotavirus vaccine after completing the initial series, report CPT code 90734 in addition to 90680.
Vaccine Administration Only Visit
For visits solely dedicated to administering the rotavirus vaccine without any other services provided, report only CPT code 90680.
Patient Refusing Rotavirus Vaccination
If a patient refuses to receive the rotavirus vaccine despite counseling and education efforts, do not report CPT code 90680.
FAQ Section
Can CPT code 90680 be reported for a partial series of rotavirus vaccination?
No, CPT code 90680 should only be reported when all doses in the schedule are administered.
Is there an age limit for administering CPT code 90680?
CPT code 90680 can be used for infants up to a certain age as recommended by the CDC guidelines.
Can CPT code 90680 be billed alongside other vaccine administration codes?
Yes, CPT code 90680 can be billed with other vaccine administration codes if multiple vaccines are administered during the same visit.
What documentation is required to support billing CPT code 90680?
Documentation should include details on the type of rotavirus vaccine administered, dosage given, and any adverse reactions observed.
Can CPT code 90680 be used for both Medicaid and private insurance claims?
Yes, CPT code 90680 is recognized by both Medicaid and private insurance providers for reimbursement purposes.
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