CPT 90371 Fee Schedule
Healthcare 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 | Immune Globulins, Serum or Recombinant Products Medicine Services and Procedures |
| Common Place of Service | 11 - Office 20 - Urgent Care Facility |
| Common Modifiers | None JZ - Zero drug amount discarded/not administered to any patient JG - Drug or biological acquired with 340B drug pricing program discount, reported for informational purposes |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 90371 |
National average reimbursement for CPT 90371 by major payers:
$153.23
$163.37
$157.26
$167.08
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 90371 | $332.87 | 1073502985 - CHU CHEN | 42484572 - MERRIMACK VALLEY PEDIATRIC ASSOCIATES, INC. | MA | Pediatrics Physician (208000000X) |
United | 90371 | $139.92 | 1730263617 - MARK ALTER | 910844563 | MT | Child & Adolescent Psychiatry Physician (2084P0804X) |
United | 90371 | $169.64 | 1144420365 - ALMA RAMIC | 366006541 - (IL) VETERANS ASSISTANCE COMMISSION C | IL | Psychiatry Physician (2084P0800X) |
United | 90371 | $169.64 | 1215297221 - STEPHANIE HERNANDEZ | 383989996 | TX | Psychiatry Physician (2084P0800X) |
United | 90371 | $159.14 | 1104046630 - SYED WALIUDDIN | 320552496 | IL | Psychiatry Physician (2084P0800X) |
United | 90371 | $159.72 | 1689787426 - KAREN SEVERSON | 364015560 - LOYOLA UNIVERSITY MEDICAL CENTER | MT | Psychiatry Physician (2084P0800X) |
United | 90371 | $303.36 | 1073502985 - CHU CHEN | 42484572 - MERRIMACK VALLEY PEDIATRIC ASSOCIATES, INC. | MA | Pediatrics Physician (208000000X) |
United | 90371 | $141.11 | 1275564197 - PAUL BERKOWITZ | 363330928 - (IL) PRESENCE HEALTHCARE SERVICES | IL | Psychiatry Physician (2084P0800X) |
United | 90371 | $139.92 | 1225211600 - JOHN MILLICHAP | 454158203 - COMMUNITY CARE NETWORK INC | NC | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 90371 | $160.91 | 1285715847 - SHANNON JENNINGS | 362604009 - (IL) OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER | MI | Psychiatry Physician (2084P0800X) |
United | 90371 | $139.92 | 1629046735 - AQEEL KHAN | 363330928 - (IL) PRESENCE HEALTHCARE SERVICES | IL | Psychiatry Physician (2084P0800X) |
United | 90371 | $193.72 | 1922111657 - CLINT ANTHONY | 860830701 | AZ | Psychiatry Physician (2084P0800X) |
United | 90371 | $162.46 | 1881894707 - AMANDA RIZZARI | 262243484 | IL | Psychiatry Physician (2084P0800X) |
United | 90371 | $139.92 | 1679729875 - KAIZ ASIF | 363330928 - (IL) PRESENCE HEALTHCARE SERVICES | IL | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 90371 | $169.64 | 1790936540 - SRISHTI NANGIA | 131623978 | NY | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 90371 vs. Other Medicine Services and Procedures Codes
The CPT 90371 code is part of the Immune Globulins, Serum or Recombinant Products services used for Medicine Services and Procedures. 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 90371 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. |
| 90296-CPT | Low | Diphtheria Immunity Solution, An Antibody Substance (Gamma Globulin Or Immune Globulin) That Helps To Prevent Diphtheria Infection Which Affects The Nose And The Throat And Can Lead To Difficulty Breathing. |
| 90371-CPT | Low | Hepatitis B Immunity Solution, An Antibody Substance (Gamma Globulin Or Immune Globulin) That Helps To Prevent Infection By The Hepatitis B Virus Which Causes A Serious Liver Infection. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90371. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90371 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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