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See a sample rate comparisonCPT 90621 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.
Meningitis Vaccine Solution, Meningococcal Vaccine Solution. The Vaccine Is Given To Prevent Infection With The Meningococcus Bacteria Which Can Cause Meningitis (Infection In The Tissue Surrounding The Brain) And Other Serious Infections.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Vaccines, Toxoids |
| Common Place of Service | 11 - Office 50 - Federally Qualified Health Center |
| Common Modifiers | SL EP - Residential facility to Physician's office |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 90621 |
| Medicaid Fee Schedule | $203.315 median of the 8 states in the free preview · View Medicaid rates for 90621 |
National average reimbursement for CPT 90621 by major payers:
$195.30
$212.85
$218.29
$223.89
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CPT 90621
5 of 25 sample ratesHigher to lower in this preview
Lauren Schumacher
$373.75Published rateRita Yadava
Rita Yadava Mdsc
$262.00Published rateDouglas Nordli
Pediatric Faculty Foundation In
$224.50Published rateEugene Schnitzler
Loyola University Medical Center
$211.38Published rateMary Fahrmeier
$190.25Published rate
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See a sample payer proposalCPT 90621 vs. Other Vaccines, Toxoids Codes
The CPT 90621 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 90621 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 |
|---|---|---|
| 90584-CPT | Low | Dengue Vacc Quad Live 2 Dose Sched Subq Use, Dengue Vaccine Quadrivalent Live 2 Dose Schedule For Subcutaneous Use |
| 90621-CPT | Low | Meningitis Vaccine Solution, Meningococcal Vaccine Solution. The Vaccine Is Given To Prevent Infection With The Meningococcus Bacteria Which Can Cause Meningitis (Infection In The Tissue Surrounding The Brain) And Other Serious Infections. |
| 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 90621. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90621 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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