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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 20 - Urgent Care Facility |
| Common Modifiers | SL UD |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 90389 |
| Medicaid Fee Schedule | $368.41 median of the 8 states in the free preview · View Medicaid rates for 90389 |
National average reimbursement for CPT 90389 by major payers:

$596.48

$738.47

$694.77

$690.98
Choose a payer to see a sample of rates for CPT 90389.
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
Kristin Rosseau
University Of Chicago
Shannon Jennings
Ottawa Regional Hospital & Healthcare Center
Mark Alter
John Millichap
Grady Memorial Hospital Corporation
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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 90389 vs. Other Immune Globulins, Serum or Recombinant Products Codes
The CPT 90389 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 90389 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 |
|---|---|---|
| 90288-CPT | High | Botulism Immune Globulin Human Intraveno Use, Botulism Immune Globulin Human For Intravenous Use |
| 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. |
| 90386-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. |
| 90389-CPT | Moderate | Tetanus Immunity Solution, An Antibody Substance (Gamma Globulin Or Immune Globulin) That Helps To Prevent Infection By The Bacteria That Causes Tetanus (Lockjaw) A Disease That Affects The Muscles And The Nerves. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90389. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90389 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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