How to Bill CPT 90694 for Vaccines and Immunization Services

When to Use CPT Code 90694

CPT 90694 is used for vaccine or immunization-related services, including vaccine administration and vaccine products.

• •Service type: Immunization
• •Components: Vaccine product, administration, or both
• •Who bills it: Physicians, clinics, and qualified healthcare providers

Common scenarios:

• •Routine childhood immunizations
• •Adult vaccine administration
• •Seasonal and preventive vaccinations

Insurance Verification Tips for CPT 90694

1. •Verify coverage under preventive benefits.
2. •Confirm age and vaccine-specific requirements.
3. •Bill administration codes separately when appropriate.
4. •Track lot numbers and documentation requirements.

Example Case of CPT 90694

A provider administers a vaccine as part of preventive care and documents the vaccine details.
The service is billed as one unit of CPT 90694.