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See a sample rate comparisonHealthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Immune Globulins, Serum or Recombinant Products |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | GP - Services delivered under an outpatient physical therapy plan of care 95 - Telemedicine - audio and video 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 90283 |
| Medicaid Fee Schedule | $72.44 median of the 3 states in the free preview · View Medicaid rates for 90283 |
National average reimbursement for CPT 90283 by major payers:

$67.09

$65.82

$57.47

$63.30
Choose a payer to see a sample of rates for CPT 90283.
P. Daniel Le Grange
Martins Adeoye
Edward Health Ventures
Da Pediatric Rehabilitation
David Kemp
Advocate Health And Hospitals Corporation
Natalia Castro
Town Center Orthopaedic Associates, P.C.
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 90283 vs. Other Immune Globulins, Serum or Recombinant Products Codes
The CPT 90283 code is part of the Medicine Services and Procedures services used for Immune Globulins, Serum or Recombinant Products. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 90283 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 90281-CPT | Low | Human Immune Globulin, Human Immune Globulin Is Derived From Blood Products And Is Typically Given As A Shot Through An Iv Or Under The Skin With Fluids. |
| 90283-CPT | Low | Human Immune Globulin, Human Immune Globulin Is Derived From Blood Products And Is Typically Given As A Shot Through An Iv Or Under The Skin With Fluids. |
| 90284-CPT | Low | Human Immune Globulin, Human Immune Globulin Is Derived From Blood Products And Is Typically Given As A Shot Through An Iv Or Under The Skin With Fluids. |
| 90288-CPT | High | Botulism Immune Globulin Human Intraveno Use, Botulism Immune Globulin Human For Intravenous Use |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90283. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90283 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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