CPT® Code 96380

Administration of respiratory syncytial virus, monoclonal antibody, seasonal dose by intramuscular injection, with counseling by physician or other qualified health care professional

The CPT® Code 96380 refers to the administration of a seasonal dose of respiratory syncytial virus (RSV) monoclonal antibody via intramuscular injection. This procedure is specifically designed to provide protection against RSV, a virus that can cause severe respiratory illness, particularly in infants and young children. The monoclonal antibody used in this vaccine is engineered to mimic the immune response to RSV, helping the body to recognize and combat the virus effectively. The administration is typically performed as a single intramuscular injection, which is usually given in the anterolateral thigh, a common site for such vaccinations. This procedure is particularly important for infants and neonates who are entering their first RSV season, as well as for young children under the age of two who remain highly susceptible to the virus. Additionally, the code encompasses any face-to-face counseling provided by a physician or other qualified healthcare professional to the patient’s family or caregiver, ensuring that they are informed about the vaccine and its importance in preventing RSV-related complications.