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Codes / CPT4 / 90716

90716 Varicella virus vaccine (VAR), live, for subcutaneous use

CPT4 code

CPT4

Name of the Procedure:

Varicella Virus Vaccine (VAR), Live, Subcutaneous Use

Summary

The Varicella virus vaccine (VAR) is an immunization given to protect against the varicella-zoster virus, which causes chickenpox. The vaccine contains a live, attenuated (weakened) form of the virus and is administered via a subcutaneous injection.

Purpose

The vaccine is used to prevent chickenpox, a highly contagious viral infection. It aims to reduce the incidence of the disease and its complications, such as shingles and severe skin infections.

Indications

  • Individuals without immunity to varicella, particularly children and adults who have never had chickenpox or been vaccinated.
  • Health care professionals, teachers, and others with a higher risk of exposure to the virus.
  • Before certain surgeries or treatments where contracting chickenpox could lead to severe complications.

Preparation

  • Patients should inform their healthcare provider of any allergies, current medications, or existing health conditions.
  • No specific preparation such as fasting is required.

Procedure Description

  1. The healthcare provider cleans the injection site, typically the upper arm.
  2. The live attenuated vaccine is drawn into a syringe.
  3. The vaccine is injected subcutaneously (under the skin) with a small needle.
  4. The site is gently pressed with a gauze to prevent bleeding and covered with a small adhesive bandage if needed.

Duration

The actual injection process takes just a few minutes.

Setting

The vaccination can be administered in various settings, including:

  • Doctor’s office
  • Outpatient clinic
  • Public health departments
  • Pharmacies

Personnel

Typically administered by:

  • Nurse
  • Physician
  • Pharmacist

Risks and Complications

Common risks include temporary pain and redness at the injection site. In rare cases:

  • Fever
  • Mild rash
  • Allergic reactions (e.g., hives, difficulty breathing)
  • Severe complications like encephalitis (very rare)

Benefits

  • High efficacy in preventing chickenpox.
  • Reduction in the severity of the disease if contracted.
  • Decreased risk of varicella-related complications.
  • Long-term immunity development within a few weeks post-vaccination.

Recovery

  • Patients can resume normal activities immediately after the injection.
  • Monitor for any adverse reactions, such as fever or rash.
  • Follow up with the healthcare provider if there are concerns about side effects.

Alternatives

  • There are few effective alternatives to the vaccine for chickenpox prevention.
  • Immune globulin would be an option for exposed high-risk individuals.
  • Pros of the VAR include long-lasting immunity and a high level of protection.
  • Cons include minor risks of side effects, particularly for individuals with certain medical conditions.

Patient Experience

  • Most patients experience minimal discomfort during the injection.
  • Some may feel mild soreness or redness at the injection site.
  • Pain management typically involves over-the-counter pain relievers if necessary.
  • Patients should report any unusual side effects to their healthcare provider.

Medical Policies and Guidelines

Related policies from health plans