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See a sample rate comparisonCPT 90482 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.
Imm Cnsl Not Admn Sm 3<10, Immunization Counseling By Physician Or Other Qualified Health Care Professional When Immunization(S) Is Not Administered By Provider On The Same Date Of Service; 3 Minutes Up To 10 Minutes
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Immunization Administration for Vaccines/Toxoids |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 90482 |
| Medicaid Fee Schedule | $14.95 median of the 8 states in the free preview · View Medicaid rates for 90482 |
National average reimbursement for CPT 90482 by major payers:
$20.48
$19.26
$16.56
$17.70
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CPT 90482
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See a sample payer proposalCPT 90482 vs. Other Immunization Administration for Vaccines/Toxoids Codes
The CPT 90482 code is part of the Medicine Services and Procedures services used for Immunization Administration for Vaccines/Toxoids. 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 90482 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 |
|---|---|---|
| 90482-CPT | Low | Imm Cnsl Not Admn Sm 3<10, Immunization Counseling By Physician Or Other Qualified Health Care Professional When Immunization(S) Is Not Administered By Provider On The Same Date Of Service; 3 Minutes Up To 10 Minutes |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90482. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90482 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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