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See a sample rate comparisonCPT 90622 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.
Vaccinia Virus Vacc Live 0.3 Ml Dos For Perq Use, Vaccinia (Smallpox) Virus Vaccine Live Lyophilized 0.3 Ml Dosage For Percutaneous Use
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Vaccines, Toxoids |
| Common Place of Service | 11 - Office 60 - Mass Immunization Center |
| Common Modifiers | PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments SL |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 90622 |
| Medicaid Fee Schedule | $0.01 median of the 7 states in the free preview · View Medicaid rates for 90622 |
National average reimbursement for CPT 90622 by major payers:
$5.89
$127.83
$1.03
$41.50
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CPT 90622
5 of 25 sample ratesHigher to lower in this preview
Northside Hospital, Inc., Northside Hospital Cherokee
Northside Hospital Inc
$0.02Published rateSomervell County Hospital District, Glen Rose Medical Center
Somervell County Hospital District
$0.01Published rateThe Medical Center Inc, Piedmont Columbus Regional Midtown
The Medical Center Inc
$0.01Published rateDlp Frye Regional Medical Center LLC, Frye Regional Medical Center
$0.01Published rateNorthwest Sahuarita Hospital LLC, Northwest Medical Center Sahuarita
Northwest Sahuarita Hospital LLC
$0.01Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 90622 vs. Other Vaccines, Toxoids Codes
The CPT 90622 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 90622 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 |
|---|---|---|
| 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 |
| 90619-CPT | Low | Meningococcal Conjugate Vaccin, Meningococcal Conjugate Vaccine Serogroups A C W Y Quadrivalent Tetanus Toxoid Carrier (Menacwy-Tt) For Intramuscular Use |
| 90620-CPT | Moderate | Meningococcal Recombinant Protein And Outer Membrane Vesicle Vaccine Serogroup B (Menb-4c) 2 Dose Schedule For Intramuscular Use (Desc Revised 7/1/2017) Comprehensive Consultation (Eff. 01011935 - Deleted 03312003) |
| 90622-CPT | Low | Vaccinia Virus Vacc Live 0.3 Ml Dos For Perq Use, Vaccinia (Smallpox) Virus Vaccine Live Lyophilized 0.3 Ml Dosage For Percutaneous Use |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90622. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90622 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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