CPT 90660 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 • 71 - Public Health Clinic • 50 - Federally Qualified Health Center |
| Common Modifiers | • None • SL • EP - Residential facility to Physician's office |
| Complexity Level | Moderate |
National average reimbursement for CPT 90660 by major payers:
$28.28
$27.78
$32.08
$30.76
| 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 90660 | ||||||
United | 90660 | $24.70 | 1730263617 - MARK ALTER | 910844563 | VA | Child & Adolescent Psychiatry Physician (2084P0804X) |
United | 90660 | $35.36 | 1215597554 - MATTEO RESPINO | 351747218 - INDIANA UNIVERSITY HEALTH CARE ASSOCIATES INC | IN | Psychiatry Physician (2084P0800X) |
United | 90660 | $29.63 | 1063520781 - ELLIOT GERSHON | 362177139 - UNIVERSITY OF CHICAGO | IL | Psychiatry Physician (2084P0800X) |
United | 90660 | $29.14 | 1578957676 - LAURA VERNON | 363279680 - (IL) PEDIATRIC FACULTY FOUNDATION IN | NY | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 90660 | $24.70 | 1043346893 - CHRISTOPHER IKE | 630739971 - (AL) CARDIOLOGY ASSOCIATES, P.A. | AL | Interventional Cardiology Physician (207RI0011X) |
United | 90660 | $24.69 | 1225211600 - JOHN MILLICHAP | 753186720 | CO | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 90660 | $28.87 | 1568752665 - ANDREW KNOX | 391678306 - AURORA MEDICAL GROUP INC | IL | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 90660 | $25.92 | 1295770345 - DONALD RHODES | 453556063 - (AL) EAST ALABAMA HEART AND VASCULAR LLC | AL | Interventional Cardiology Physician (207RI0011X) |
United | 90660 | $32.81 | 1255892808 - ASHLEY SHI | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | IL | Psychiatry Physician (2084P0800X) |
United | 90660 | $27.15 | 1275564197 - PAUL BERKOWITZ | 842494027 - BRIGHTSIDE MEDICAL | FL | Psychiatry Physician (2084P0800X) |
United | 90660 | $34.20 | 1790181402 - SONAM VERMA | 611661781 | IL | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 90660 | $24.69 | 1760514772 - APEX CARDIOLOGY, PC | 208535345 - (AL) APEX CARDIOLOGY, PC | AL | Interventional Cardiology Physician (207RI0011X) |
United | 90660 | $32.81 | 1497080584 - ELIZABETH HOMAN | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | IL | Psychiatry Physician (2084P0800X) |
United | 90660 | $28.40 | 1225211600 - JOHN MILLICHAP | 731310891 - WARREN CLINIC INC | NC | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 90660 | $29.62 | 1275562779 - BARRY RABIN | 581672987 - (IL) EDWARD HEALTH VENTURES | IL | Psychiatry Physician (2084P0800X) |
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 90660 vs. Other Vaccines, Toxoids Codes
The CPT 90660 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 90660 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 |
|---|---|---|
| 90653 | Low | Influenza Vaccine Inactivated (Iiv) Subunit Adjuvanted For Intramuscular Use (Desc Revised 7/1/2015) Second Or Third Opinion Comprehensive Consult (Old Description -Deleted 3/31/2003) |
| 90654 | Low | Influenza Virus Vaccine Trivalent (Iiv3) Split Virus Preservative-Free For Intradermal Use (Desc Revised 01/01/15) |
| 90655 | Low | Influenza Virus Vaccine Trivalent (Iiv3) Split Virus Preservative Free 0.25 Ml Dosage For Intramuscular Use. (Desc Revised 1/1/2017) |
| 90660 | Low | Influenza Virus Vaccine Trivalent Live (Laiv3) For Intranasal (Desc Revised 7/1/2015) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90660. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90660 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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