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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 |
| Common Modifiers | UD G4 - Most recent URR reading of 70 to 74.9 G5 - Most recent URR reading of 75 or greater V5 - Any vascular catheter |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 90399 |
| Medicaid Fee Schedule | $398.495 median of the 2 states in the free preview · View Medicaid rates for 90399 |
National average reimbursement for CPT 90399 by major payers:

$108.24

$55.00

$57.00

$341.51
Choose a payer to see a sample of rates for CPT 90399.
The Medical Center Inc, Piedmont Columbus Regional Midtown
The Medical Center Inc
Pmc Hospital, LLC, St. Luke'S Patients Medical Center
Pmc Hospital LLC
St Francis Hospital Of The Hospital Sisters Of The Third Order Of St F
St Francis Hospital Sisters Of The Third Order Of St Francis
Kph-Consolidation, Inc., Hca Houston Healthcare North Cypress A Campus Of Hca Houston Healthcar
Hh Health System, Marshall Medical Center
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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 90399 vs. Other Immune Globulins, Serum or Recombinant Products Codes
The CPT 90399 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 90399 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 |
|---|---|---|
| 90287-CPT | Low | Botulism Treatment, Treatment For Botulism An Illness Caused By Clostridium Botulinum Bacteria. |
| 90291-CPT | High | Cmv Immunity Solution, An Antibody Substance (Gamma Globulin Or Immune Globulin) That Helps To Prevent Infection With The Cytomegalovirus (Cmv) Virus Which Can Cause Fever Swollen Glands And Fatigue (Feeling Extremely Tired). |
| 90378-CPT | High | Rsv Immune Globulin, Respiratory Syncytial Virus (Rsv) Immune Globulin. Rsv Is An Infection That Causes Colds Coughs And Sometimes Pneumonia In Children And Infants. |
| 90399-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. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90399. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90399 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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