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See a sample rate comparisonHealthcare 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 81 - Independent Laboratory |
| Common Modifiers | JZ - Zero drug amount discarded/not administered to any patient UD |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 90676 |
| Medicaid Fee Schedule | $111.96 median of the 7 states in the free preview · View Medicaid rates for 90676 |
National average reimbursement for CPT 90676 by major payers:

$224.76

$209.62

$88.87

$134.20
Choose a payer to see a sample of rates for CPT 90676.
P. Daniel Le Grange
Elizabeth Charney
The Board Of Trustees Of The University Of Illinois
Rhonda Lampen
Multicare Health System
Claudine Sinsioco
Inova Health Care Services
John Millichap
Warren Clinic Inc
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 90676 vs. Other Vaccines, Toxoids Codes
The CPT 90676 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 90676 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 |
|---|---|---|
| 90673-CPT | Low | Influenza Virus Vaccine Triva, Influenza Virus Vaccine Trivalent (Riv3) Derivedfrom Recombinant Dna (Riv3) Hemagglutinin (Ha) P Rotein Only Preservative And Antibiotic Free Forintramuscular Use |
| 90674-CPT | Low | Cciiv4 Vac No Prsv 0 5 Ml Im, Influenza Virus Vaccine Quadrivalent Cciiv4 Derived From Cell Cultures Subunit Preservative And Antibiotic Free 0 5 Ml Dosage For Intramuscular Use |
| 90675-CPT | Moderate | Rabies Vaccine Solution, Rabies Vaccine. The Shot Is Given To Prevent Rabies A Virus That Is Spread By The Bite Of Infected Animals. |
| 90676-CPT | Moderate | Rabies Vaccine Solution, Rabies Vaccine. The Shot Is Given To Prevent Rabies A Virus That Is Spread By The Bite Of Infected Animals. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90676. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90676 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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