CPT 90622 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 | Vaccines, Toxoids Medicine Services and Procedures |
| Common Place of Service | 11 - Office 60 - Mass Immunization Center |
| Common Modifiers | None 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 |
National average reimbursement for CPT 90622 by major payers:
$5.89
$127.83
$1.03
$41.50
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 90622 | $0.01 | 1255684460 - INOVA HEALTH CARE SERVICES, INOVA ALEXANDRIA HOSPITAL | 540620889 - INOVA HEALTH CARE SERVICES | VA | General Acute Care Hospital (282N00000X) |
United | 90622 | $0.01 | 1700826575 - SOMERVELL COUNTY HOSPITAL DISTRICT, GLEN ROSE MEDICAL CENTER | 463085950 - (TX) SOMERVELL COUNTY HOSPITAL DISTRICT | TX | Rural Acute Care Hospital (282NR1301X) |
United | 90622 | $0.01 | 1467442418 - NORTHWEST TEXAS HEALTHCARE SYSTEM INC, NORTHWEST TEXAS HEALTHCARE SYSTEM | 232238976 | TX | General Acute Care Hospital (282N00000X) |
United | 90622 | $0.02 | 1225050396 - NORTHSIDE HOSPITAL, INC., NORTHSIDE HOSPITAL CHEROKEE | 581954432 - (GA) NORTHSIDE HOSPITAL INC | GA | General Acute Care Hospital (282N00000X) |
United | 90622 | $0.02 | 1821042979 - HCA HEALTHONE LLC, NORTH SUBURBAN MEDICAL CENTER | 841321373 | CO | General Acute Care Hospital (282N00000X) |
United | 90622 | $0.01 | 1366420531 - PROHEALTH OCONOMOWOC MEMORIAL HOSPITAL, INC. | 390794174 - (WI) PROHEALTH MEDICAL GROUP INC | WI | General Acute Care Hospital (282N00000X) |
United | 90622 | $0.01 | 1245275254 - SAINT THOMAS HICKMAN HOSPITAL, ASCENSION SAINT THOMAS HICKMAN | 581737573 - SAINT THOMAS HICKMAN HOSPITAL | TN | Critical Access Hospital (282NC0060X) |
United | 90622 | $0.01 | 1619985942 - CATHOLIC HEALTH INITIATIVES COLORADO, CENTURA ST ANTHONY NORTH HOSPITAL | 840405257 - CATHOLIC HEALTH INITIATIVES COLORADO | CO | General Acute Care Hospital (282N00000X) |
United | 90622 | $0.01 | 1144247982 - HENDERSON COUNTY HOSPITAL CORPORATION, MARGARET R. PARDEE MEMORIAL HOSPITAL | 562084959 | NC | General Acute Care Hospital (282N00000X) |
United | 90622 | $0.01 | 1255401519 - THE MEDICAL CENTER INC, PIEDMONT COLUMBUS REGIONAL MIDTOWN | 581685139 - (GA) THE MEDICAL CENTER INC | GA | General Acute Care Hospital (282N00000X) |
United | 90622 | $0.02 | 1376574277 - NORTHSIDE HOSPITAL, INC., NORTHSIDE HOSPITAL FORSYTH | 581954432 - (GA) NORTHSIDE HOSPITAL INC | GA | General Acute Care Hospital (282N00000X) |
United | 90622 | $0.02 | 1598144362 - PRIME HEALTHCARE SERVICES, SAINT CLARE'S HOSPITAL | 463483967 | NJ | General Acute Care Hospital (282N00000X) |
United | 90622 | $0.01 | 1629057302 - ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER, HSHS ST. ELIZABETH'S HOSPITAL | 370663567 - (IL) ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDE | IL | General Acute Care Hospital (282N00000X) |
United | 90622 | $0.01 | 1255384533 - COLUMBIA MEDICAL CENTER OF LEWISVILLE SUBSIDIARY LP, MEDICAL CITY LEWISVILLE | 621682210 - (TX) COLUMBIA MEDICAL CENTER OF LEWISVILLE SUBSIDIARY LP | TX | General Acute Care Hospital (282N00000X) |
United | 90622 | $0.01 | 1093705428 - JACKSON MADISON COUNTY GENERAL HOSPITAL | 626010402 - (TN) JACKSON MADISON COUNTY GENERAL HOSPITAL | TN | 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 90622 vs. Other Medicine Services and Procedures Codes
The CPT 90622 code is part of the Vaccines, Toxoids services used for Medicine Services and Procedures. 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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