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See a sample rate comparisonCPT 90625 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.
Cholera Vaccine, Cholera Vaccine Given By Mouth. This Vaccine Provides Protection Against Infection By The Bacteria That Causes Cholera. Cholera Is An Infection Of The Intestines Spread Through Contaminated Food Or Drink.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Vaccines, Toxoids |
| Common Place of Service | 11 - Office 49 - Independent Clinic 71 - Public Health Clinic |
| Common Modifiers | GA - Required ABN issued and on file SL |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 90625 |
| Medicaid Fee Schedule | $280.00 median of the 7 states in the free preview · View Medicaid rates for 90625 |
National average reimbursement for CPT 90625 by major payers:
$269.62
$314.72
$301.59
$320.84
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CPT 90625
5 of 25 sample ratesHigher to lower in this preview
Huma Abbas
Advocate Health And Hospitals Corporation
$378.69Published rateKapil Aedma
Swope Health Services
$334.23Published rateBeth Ledvora
Beth Ledvora M.D., S.C.
$315.55Published rateRhonda Lampen
Multicare Health System
$311.57Published rateMark Alter
$283.25Published rate
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See a sample payer proposalCPT 90625 vs. Other Vaccines, Toxoids Codes
The CPT 90625 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 90625 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 |
|---|---|---|
| 90477-CPT | Low | Oral Vaccine For Adenovirus, Vaccine Solution Given By Mouth To Prevent Illnesses Caused By Adenoviruses. Adenoviruses Commonly Cause Lung Illnesses Diarrhea And Eye Infections. |
| 90581-CPT | Low | Anthrax Vacc For Subcutane Or Intramuscul Use, Anthrax Vaccine For Subcutaneous Or 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) |
| 90625-CPT | Moderate | Cholera Vaccine, Cholera Vaccine Given By Mouth. This Vaccine Provides Protection Against Infection By The Bacteria That Causes Cholera. Cholera Is An Infection Of The Intestines Spread Through Contaminated Food Or Drink. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90625. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90625 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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