Our practice is providing quadrivalent influenza vaccines this season, but I find the lightning bolt symbol () next to code 90688 in my Current Procedural Terminology (CPT®) manual. Does this mean this vaccine is not yet approved by the US Food and Drug Administration (FDA)?

The lightning bolt symbol in CPT indicates that at the time of publication, the vaccine represented by the code was not approved by the FDA. This is done so that codes are available when the product is approved. You can find updates to vaccine codes, including the date of recent FDA approvals and date of publication in the CPT manual, at www.ama-assn.org/ama/pub/physician-resources/solutions-managing-your-practice/coding-billing-insurance/cpt/about-cpt/category-i-vaccine-codes.page?. New codes are released on January 1 and July 1 for implementation after 6 months or when the vaccine product is approved.

The codes for currently approved quadrivalent influenza vaccines are included in the Table.

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