CPT 90648 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 | • Medicine Services and Procedures • Vaccines, Toxoids |
| Common Place of Service | • 11 - Office • 50 - Federally Qualified Health Center |
| Common Modifiers | • None • SL • EP - Residential facility to Physician's office |
| Complexity Level | Low |
National average reimbursement for CPT 90648 by major payers:
$14.26
$14.49
$16.32
$14.61
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 90648 | ||||||
United | 90648 | $25.20 | 1255384533 - COLUMBIA MEDICAL CENTER OF LEWISVILLE SUBSIDIARY LP, MEDICAL CITY LEWISVILLE | 621682210 - (TX) DE MARKETING AND SALES | TX | General Acute Care Hospital (282N00000X) |
United | 90648 | $15.27 | 1104271576 - LAURENCE ROBERT BOWER III, MRI NOW - KERRVILLE | 742776427 | TX | Radiology Clinic/Center (261QR0200X) |
United | 90648 | $15.17 | 1740453000 - GRAHAM REGIONAL MEDICAL CENTER, GRAHAM GENERAL HSOPITAL PHYSICIANS | 463113489 | TX | General Acute Care Hospital (282N00000X) |
United | 90648 | $15.69 | 1962631614 - HEND ABDELWAHAB | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Family Medicine Physician (207Q00000X) |
United | 90648 | $15.27 | 1578898698 - CT CENTER OF FLINT, PLLC, PREMIER IMAGING CENTERS | 261404129 - (MI) CT CENTER OF FLINT PLLC | MI | Radiology Clinic/Center (261QR0200X) |
United | 90648 | $15.02 | 1407840614 - MARIA GESUALDO | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Critical Care Medicine (Internal Medicine) Physician (207RC0200X) |
United | 90648 | $14.71 | 1306453022 - ALISSA TUCCIARONE | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Medical Physician Assistant (363AM0700X) |
United | 90648 | $15.27 | 1356599732 - CENTRAL DUPAGE IMAGING CENTER LLC | 260404734 - (IL) CENTRAL DUPAGE IMAGING CENTER LLC | IL | Radiology Clinic/Center (261QR0200X) |
United | 90648 | $25.20 | 1023069028 - SOUTHCREST LLC, SOUTHCREST HOSPITAL | 452711804 | OK | General Acute Care Hospital (282N00000X) |
United | 90648 | $25.20 | 1982800397 - PELHAM MEDICAL CENTER | 141996067 | SC | General Acute Care Hospital (282N00000X) |
United | 90648 | $14.61 | 1538135777 - TIMOTHY KENDRICK | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Physician Assistant (363A00000X) |
United | 90648 | $15.69 | 1053796250 - STEPHANIE CALENZO | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Physician Assistant (363A00000X) |
United | 90648 | $42.02 | 1376574277 - NORTHSIDE HOSPITAL, INC., NORTHSIDE HOSPITAL FORSYTH | 581954432 - (GA) NORTHSIDE HOSPITAL INC | GA | General Acute Care Hospital (282N00000X) |
United | 90648 | $15.69 | 1043204258 - CELESTA HUNSIKER | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Internal Medicine Physician (207R00000X) |
United | 90648 | $53.74 | 1043291164 - SUTTER TRACY COMMUNITY HOSPITAL | 941156621 - (CA) SUTTER VALLEY HOSPITALS | CA | 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 90648 vs. Other Vaccines, Toxoids Codes
The CPT 90648 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 90648 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 |
|---|---|---|
| 90636-CPT | Low | Hepatits A And Hepatitis B Vaccine(Hepa-Hepb) Adult Dosage For Intramuscular Use |
| 90644-CPT | Low | Meningococcal Conjugate Vaccine Serogroups C & Y And Haemophilus Influenzae B Vaccine (Hib-Mency) 4 Dose Schedule When Administered To Children 6 Weeks-18 Months Of Age For Intramuscular Use (Description Revised 1/1/2016) |
| 90647-CPT | Low | Hemophilus Influenza B Vaccine Prp-Omp Conjugate (3 Dose) For Intramuscular Use |
| 90648-CPT | Low | Hemophilus Influenza B Vaccine Prp-T Conjugate (4 Dose) 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 90648. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90648 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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