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See a sample rate comparisonCPT 90713 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.
Poliovirus Vacc Inactivat (Ipv) For Subcutane Or Intramuscul, Poliovirus Vaccine Inactivated (Ipv) For Subcutaneous Or Intramuscul
| 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 | SL EP - Residential facility to Physician's office |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 90713 |
| Medicaid Fee Schedule | $45.895 median of the 8 states in the free preview · View Medicaid rates for 90713 |
National average reimbursement for CPT 90713 by major payers:
$45.47
$47.34
$51.04
$239.18
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CPT 90713
5 of 25 sample ratesHigher to lower in this preview
St. Lukes Hospital At The Vintage
St Lukes Hospital At The Vintage
$104.04Published rateBellville Hospital District, Bellville General Hospital
Bellville Medical Center
$51.02Published rateKaren Rounds Cleary
Slocum Dickson Medical Group PLLC
$49.25Published rateBsa Hospital LLC
$42.63Published rateTexas Radiology Associates LLP
Texas Radiology Associates, LLP
$40.50Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 90713 vs. Other Vaccines, Toxoids Codes
The CPT 90713 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 90713 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 |
|---|---|---|
| 90713-CPT | Low | Poliovirus Vacc Inactivat (Ipv) For Subcutane Or Intramuscul, Poliovirus Vaccine Inactivated (Ipv) For Subcutaneous Or Intramuscul |
| 90715-CPT | Low | Tetanus Diphtheria Toxoids And, Tetanus Diphtheria Toxoids And Acellular Pertussisvaccine (Tdap) When Administered To Individuals 7 Years Or Older For Intramuscular Use |
| 90723-CPT | Low | Diphtheria Tetanus Toxoids Acellular Pertussis Vaccine Hepatitis B And Inactivated Poliovirus Vaccine Inactivated (Dtap-Hepb- Ipv) For Intramuscular Use (Desc Revised 01/01/15) |
| 90732-CPT | Low | Ppsv23 Vacc 2 Yrs Subq Im, Pneumococcal Polysaccharide Vaccine 23 Valent Ppsv23 Adult Or Immunosuppressed Patient Dosage When Administered To Individuals 2 Years Or Older For Subcutaneous Or 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 90713. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90713 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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