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See a sample rate comparisonCPT 90683 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.
Rsv Vaccine Mrna Lipid Nanoparticles For Im Use, Respiratory Syncytial Virus Vaccine Mrna Lipid Nanoparticles For Intramuscular Use
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Vaccines, Toxoids |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 90683 |
| Medicaid Fee Schedule | $291.855 median of the 8 states in the free preview · View Medicaid rates for 90683 |
National average reimbursement for CPT 90683 by major payers:
$311.00
$319.43
$325.38
$339.68
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CPT 90683
5 of 25 sample ratesHigher to lower in this preview
Baycare Home Care, Inc.
Baycare Home Care Inc
$427.70Published rateNimisha Patel
$348.00Published rateMatthew Filippo
Advocate Health And Hospitals Corporation
$332.76Published rateNeil Jariwala
$298.70Published rateMarcus Byrd
New York City Health And Hospitals Corporation
$234.17Published rate
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See a sample payer proposalCPT 90683 vs. Other Vaccines, Toxoids Codes
The CPT 90683 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 90683 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 |
|---|---|---|
| 90683-CPT | Moderate | Rsv Vaccine Mrna Lipid Nanoparticles For Im Use, Respiratory Syncytial Virus Vaccine Mrna Lipid Nanoparticles 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 90683. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90683 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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