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See a sample rate comparisonCPT 90385 Fee Schedule
Last Verified: October 2026
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.
Preventive For Rh Blood Type, An Iv Treatment To Prevent Complications In A Pregnancy Where The Mother And Fetus Have Rh-Opposite Blood Types.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Immune Globulins, Serum or Recombinant Products |
| Common Place of Service | 11 - Office 50 - Federally Qualified Health Center |
| Common Modifiers | JZ - Zero drug amount discarded/not administered to any patient Q6 - Service furnished by a locum tenens physician |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 90385 |
| Medicaid Fee Schedule | $29.34 median of the 8 states in the free preview · View Medicaid rates for 90385 |
National average reimbursement for CPT 90385 by major payers:
$42.24
$39.84
$33.82
$36.86
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CPT 90385
5 of 25 sample ratesHigher to lower in this preview
Lauren Schumacher
$109.69Published rateDouglas Nordli
Southern Illinois Medical Services Nfp
$53.79Published rateChristopher Raio
St Francis Hospital
$35.67Published rateMalik Nassan
Head & Neck And Cosmetic Surgery Associates, LLC
$33.04Published rateJohn Millichap
Grady Memorial Hospital Corporation
$26.12Published rate
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See a sample payer proposalCPT 90385 vs. Other Immune Globulins, Serum or Recombinant Products Codes
The CPT 90385 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 90385 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 |
|---|---|---|
| 90380-CPT | Moderate | Rsv Immune Globulin, Respiratory Syncytial Virus (Rsv) Immune Globulin. Rsv Is An Infection That Causes Colds Coughs And Sometimes Pneumonia In Children And Infants. |
| 90381-CPT | Moderate | Rsv Immune Globulin, Respiratory Syncytial Virus (Rsv) Immune Globulin. Rsv Is An Infection That Causes Colds Coughs And Sometimes Pneumonia In Children And Infants. |
| 90384-CPT | Low | Preventive For Rh Blood Type, An Iv Treatment To Prevent Complications In A Pregnancy Where The Mother And Fetus Have Rh-Opposite Blood Types. |
| 90385-CPT | Low | Preventive For Rh Blood Type, An Iv Treatment To Prevent Complications In A Pregnancy Where The Mother And Fetus Have Rh-Opposite Blood Types. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90385. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90385 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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