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Official Description

H1N1 immunization administration (intramuscular, intranasal), including counseling when performed

© Copyright 2026 American Medical Association. All rights reserved.

Common Language Description

The CPT® Code 90470 refers to the administration of the H1N1 immunization, which can be delivered via intramuscular or intranasal routes. This procedure includes the provision of counseling when it is performed, ensuring that patients receive important information regarding the vaccine and its benefits. H1N1, commonly known as swine flu, is a subtype of influenza Type A, which is one of the two primary types of influenza viruses, the other being Type B. The H1N1 virus has specific characteristics that necessitate a tailored vaccine formulation to effectively combat it. The administration of this immunization is crucial for public health, particularly during flu seasons when H1N1 may circulate widely. It is important to note that this code specifically captures the immunization administration aspect and does not encompass any additional services or evaluations that may occur during the patient encounter.

© Copyright 2026 Coding Ahead. All rights reserved.

1. Indications

The H1N1 immunization administration is indicated for individuals who require protection against the H1N1 influenza virus. This includes, but is not limited to, the following:

  • High-Risk Populations Individuals who are at a higher risk of developing severe complications from H1N1, such as young children, elderly individuals, pregnant women, and those with chronic health conditions.
  • Seasonal Vaccination Routine immunization during flu season to prevent the spread of H1N1 influenza within the community.
  • Public Health Initiatives Vaccination campaigns aimed at increasing immunity in the population to control outbreaks of H1N1.

2. Procedure

The procedure for administering the H1N1 immunization involves several key steps, which are outlined as follows:

  • Step 1: Patient Assessment Prior to administration, the healthcare provider assesses the patient’s medical history and current health status to determine eligibility for the H1N1 vaccine. This may include reviewing any contraindications or previous adverse reactions to vaccines.
  • Step 2: Vaccine Preparation The appropriate H1N1 vaccine is selected based on the patient’s age and health condition. The vaccine is prepared according to manufacturer guidelines, ensuring sterility and proper dosage.
  • Step 3: Administration of the Vaccine The vaccine is administered either intramuscularly or intranasally, depending on the formulation used. For intramuscular administration, the injection is typically given in the deltoid muscle of the upper arm. For intranasal administration, the vaccine is sprayed into the nostrils as directed.
  • Step 4: Counseling After the administration, the healthcare provider offers counseling to the patient, which may include information about potential side effects, the importance of the vaccine, and any follow-up care that may be necessary.
  • Step 5: Documentation The administration of the vaccine is documented in the patient’s medical record, including the date, type of vaccine, route of administration, and any counseling provided.

3. Post-Procedure

Post-procedure care following the H1N1 immunization administration typically involves monitoring the patient for any immediate adverse reactions, which may include mild side effects such as soreness at the injection site, low-grade fever, or fatigue. Patients are advised to remain in the healthcare setting for a short period after administration to ensure their safety. Additionally, patients should be informed about the expected timeline for immunity development and advised to report any unusual symptoms or severe reactions that may occur after leaving the facility. Follow-up appointments may be scheduled as necessary to ensure continued health and vaccination compliance.

Short Descr IMMUNE ADMIN H1N1 IM/NASAL
Medium Descr IMMUNE ADMIN H1N1 IM/NASAL INCL CNSL
Long Descr H1N1 immunization administration (intramuscular, intranasal), including counseling when performed
Status Code Deleted Code
Global Days XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC) 9 - Not Applicable
Multiple Procedures (51) 9 - Concept does not apply.
Bilateral Surgery (50) 9 - Concept does not apply.
Physician Supervisions 09 - Concept does not apply.
Assistant Surgeon (80, 82) 9 - Concept does not apply.
Co-Surgeons (62) 9 - Concept does not apply.
Team Surgery (66) 9 - Concept does not apply.
Diagnostic Imaging Family 99 - Concept Does Not Apply
Type of Service (TOS) V - Pneumococcal/Flu Vaccine
Berenson-Eggers TOS (BETOS) O1G - Immunizations/Vaccinations
MUE Not applicable/unspecified.
CCS Clinical Classification 228 - Prophylactic vaccinations and inoculations
Date
Action
Notes
2012-01-01 Deleted Deleted
2011-01-01 Added First appearance in code book
2011-01-01 Deleted H1N1 seasonal vaccine no longer valid
2010-01-01 Added New Code.
1991-12-31 Deleted Code deleted.
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