CPT® Code 90477

1. Indications

The Adenovirus vaccine, type 7, is indicated for the prevention of illnesses caused by adenovirus infections. These infections can lead to a variety of respiratory conditions and other health issues. The specific indications for administering this vaccine include:

• Respiratory Illnesses - Adenoviruses are known to cause respiratory infections, which can manifest as the common cold, croup, bronchitis, and pneumonia.
• Conjunctivitis - This vaccine may be indicated for the prevention of adenovirus-related conjunctivitis, an inflammation of the eye.
• Cystitis - Adenoviruses can also lead to urinary tract infections, specifically cystitis, which may warrant vaccination.
• Gastroenteritis - The vaccine is indicated for the prevention of gastroenteritis caused by adenoviruses, which can result in diarrhea and vomiting.

2. Procedure

The administration of the Adenovirus vaccine, type 7, involves the following procedural steps:

• Step 1: Patient Assessment - Prior to vaccination, a thorough assessment of the patient’s medical history and current health status is conducted to ensure that the vaccine is appropriate for the individual. This includes checking for any contraindications or previous adverse reactions to vaccines.
• Step 2: Preparation of the Vaccine - The vaccine is prepared according to the manufacturer's guidelines. This may involve ensuring that the vaccine is at the correct temperature and that it is within its expiration date.
• Step 3: Administration of the Vaccine - The Adenovirus vaccine, type 7, is administered orally. The healthcare provider ensures that the patient is positioned comfortably and provides instructions on how to take the vaccine, which may include swallowing the vaccine directly or mixing it with a small amount of food or liquid if necessary.
• Step 4: Post-Administration Observation - After the vaccine is administered, the patient is typically observed for a short period to monitor for any immediate adverse reactions. This is a standard precaution following vaccination.

3. Post-Procedure

Following the administration of the Adenovirus vaccine, type 7, patients are advised to monitor for any potential side effects, although serious reactions are rare. Common post-vaccination care includes ensuring adequate hydration and rest. Patients should be informed about the signs of any adverse reactions, such as severe allergic responses, and instructed to seek medical attention if such symptoms occur. Additionally, it is important to document the administration of the vaccine in the patient's medical record, including the date, lot number, and any relevant observations made during the post-administration period.