CPT 90399 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 | • Medicine Services and Procedures • Immune Globulins, Serum or Recombinant Products |
| Common Place of Service | • 11 - Office |
| Common Modifiers | • None • 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 | Moderate |
National average reimbursement for CPT 90399 by major payers:
$108.24
$55.00
$57.00
$50.09
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 90399 | ||||||
United | 90399 | $706.02 | 1205846037 - BAILEY MEDICAL CENTER, LLC | 201547519 - (OK) BAILEY MEDICAL CENTER LLC | OK | General Acute Care Hospital (282N00000X) |
United | 90399 | $834.39 | 1760498588 - PIEDMONT NEWTON HOSPITAL, INC., NEWTON MEDICAL CENTER | 582155150 - (GA) PIEDMONT NEWTON HOSPITAL INC | GA | General Acute Care Hospital (282N00000X) |
United | 90399 | $1176.69 | 1457396079 - NORTHSIDE HOSPITAL, INC., NORTHSIDE HOSPITAL | 581954432 - (GA) NORTHSIDE HOSPITAL INC | GA | General Acute Care Hospital (282N00000X) |
United | 90399 | $1069.72 | 1164493847 - FRED HUTCHINSON CANCER CENTER | 911935159 - (WA) FRED HUTCHINSON CANCER CENTER | WA | General Acute Care Hospital (282N00000X) |
United | 90399 | $603.32 | 1982720249 - MONTCLAIR HOSPITAL LLC, HACKENSACKUMC MOUNTAINSIDE | 208489105 - (NJ) MERIT MOUNTAINSIDE, LLC | NJ | General Acute Care Hospital (282N00000X) |
United | 90399 | $67.34 | 1699129601 - SUTTER VALLEY HOSPITALS, MEMORIAL MEDICAL CENTER | 941156621 - (CA) SUTTER VALLEY HOSPITALS | CA | General Acute Care Hospital (282N00000X) |
United | 90399 | $872.54 | 1407990088 - PMC HOSPITAL, LLC, ST. LUKE'S PATIENTS MEDICAL CENTER | 273280598 - (TX) PMC HOSPITAL LLC | TX | General Acute Care Hospital (282N00000X) |
United | 90399 | $706.02 | 1326057076 - ST FRANCIS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F | 370661236 - (IL) ST FRANCIS HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS | IL | Critical Access Hospital (282NC0060X) |
United | 90399 | $1310.42 | 1184622847 - CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER | 741161938 - CHI ST LUKES HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER | TX | General Acute Care Hospital (282N00000X) |
United | 90399 | $522.03 | 1457379448 - DAYTON CHILDREN'S HOSPITAL | 310672132 - (OH) DAYTON CHILDRENS HOSPITAL | OH | Children's Hospital (282NC2000X) |
United | 90399 | $617.45 | 1508859661 - MERCY HOSPITAL JEFFERSON, JEFFERSON MEMORIAL HOSPITAL ASSOCIATION | 430687077 - (MO) MERCY HOSPITAL JEFFERSON | MO | General Acute Care Hospital (282N00000X) |
United | 90399 | $706.02 | 1144209271 - SUMMIT HEALTHCARE ASSOCIATION, SUMMIT HEALTHCARE REGIONAL MEDICAL CENTER | 860320447 - SUMMIT HEALTHCARE ASSOCIATION | AZ | Rural Acute Care Hospital (282NR1301X) |
United | 90399 | $706.02 | 1851390967 - UHS OF TEXOMA, INC, TEXOMA MEDICAL CENTER | 205908627 - UHS OF TEXOMA INC | TX | General Acute Care Hospital (282N00000X) |
United | 90399 | $706.02 | 1457319154 - ST JOSEPHS HOSPITAL BREESE OF THE HOSPITAL SISTERS OF THE THIRD ORDE, ST. JOSEPH'S HOSPITAL | 371208459 - (IL) ST JOSEPHS HOSPITAL BREESE OF THE HOSPITAL SISTERS OF THE THIRD ORDE | IL | General Acute Care Hospital (282N00000X) |
United | 90399 | $706.02 | 1982800397 - PELHAM MEDICAL CENTER | 141996067 | SC | General Acute Care Hospital (282N00000X) |
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 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.
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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