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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 Vaccines, Toxoids |
| Common Place of Service | 11 - Office |
| Common Modifiers | 02 |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 90587 |
| Medicaid Fee Schedule | $66.00 median of the 6 states in the free preview · View Medicaid rates for 90587 |
National average reimbursement for CPT 90587 by major payers:

$78.32

$74.79

$81.31

$106.19
Choose a payer to see a sample of rates for CPT 90587.
Christopher Raio
Samaritan Emergency Medical Services PC
Duke Ruktanonchai
Scott & White Clinic
Guoshi Zhang
Advocate Health And Hospitals Corporation
Huma Abbas
Advocate Health And Hospitals Corporation
Alan Felthous
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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 90587 vs. Other Vaccines, Toxoids Codes
The CPT 90587 code is part of the Medicine Services and Procedures services used 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 90587 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 |
|---|---|---|
| 90587-CPT | Low | Dengue Vaccine Quadrivalent Live 3 Dose Schedule For Subcutaneous Use. This Code Is For A Sanofi Pasteur Chimeric Live Attenuated Tetravalent Vaccine That Is Not Yet Fda |
| 90611-CPT | Moderate | Smallpox Monkeypox Vac 0 5ml, Smallpox And Monkeypox Vaccine Attenuated Vaccinia Virus Live Non Replicating Preservative Free 0 5 Ml Dosage Suspension For Subcutaneous Use |
| 90626-CPT | Moderate | Tick-Borne Enceph Vacc Inactivated 0.25ml Im Use, Tick-Borne Encephalitis Virus Vaccine Inactivated; 0.25 Ml Dosage For Intramuscular Use |
| 90627-CPT | Moderate | Tick-Borne Enceph Vacc Inactivated 0.5ml Im Use, Tick-Borne Encephalitis Virus Vaccine Inactivated; 0.5 Ml Dosage For Intramuscular Use |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90587. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90587 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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