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When Not to Use This Code Avoid CPT Code 90686 in the following situations: High-dose influenza vaccines for seniors (Use 90662) Adjuvanted vaccines for elderly or immunocompromised patients (Use 90653) Intranasal vaccine administration (Use 90660) Pediatric vaccines given in 0.25 mL doses (Use 90685 or 90687, depending on brand) Vaccines with preservatives or multi-dose vials (Use 90688) Correct Administration and Modifier Pairing for CPT Code 90686 CPT Code 90686 must be linked with the appropriate administration code and any relevant modifications for effective billing

Kim MJ, Bae SH, Ryu JC, Kwon Y, Oh JH, Kwon J, et al

All prescriptions are provided only after medical evaluation

(See Sharps Container below) If you do everything gently, your child will usually not awaken