CPT 90723 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 90723 by major payers:
$105.36
$108.51
$116.88
$109.32
| 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 90723 | ||||||
United | 90723 | $97.97 | 1891770723 - KYLE SIMMERS | 593000333 | FL | Pediatrics Physician (208000000X) |
United | 90723 | $97.97 | 1427408863 - JOSEF NEWMAN | 463756071 | FL | Pediatrics Physician (208000000X) |
United | 90723 | $97.97 | 1043229743 - MARISA COULURIS | 362193608 | FL | Pediatrics Physician (208000000X) |
United | 90723 | $130.30 | 1336680172 - ASHMIT BHATT | 593214635 | FL | Pediatrics Physician (208000000X) |
United | 90723 | $188.91 | 1952344327 - MAUREEN NOVAK | 591680273 | FL | Pediatrics Physician (208000000X) |
United | 90723 | $113.80 | 1922390988 - HUMAM ALABSI | 592650464 | FL | Pediatrics Physician (208000000X) |
United | 90723 | $92.62 | 1073073128 - CAMILLE CARRE | 237313346 | FL | Pediatrics Physician (208000000X) |
United | 90723 | $89.84 | 1487867172 - TAIMOOR HASHIM | 630888599 - (AL) SOUTHEASTERN CARDIOLOGY CONSULTANTS, P.C. | AL | Interventional Cardiology Physician (207RI0011X) |
United | 90723 | $113.80 | 1861832321 - SERGIO PEREZ BERACASA | 630888599 - (AL) SOUTHEASTERN CARDIOLOGY CONSULTANTS, P.C. | AL | Interventional Cardiology Physician (207RI0011X) |
United | 90723 | $113.80 | 1154330165 - ANANTH PILLAI | 263539095 | FL | Pediatrics Physician (208000000X) |
United | 90723 | $97.97 | 1366483828 - EDUARDO DIAZ | 202911660 | FL | Pediatrics Physician (208000000X) |
United | 90723 | $92.62 | 1306058557 - MICHAEL BUTLER | 812971996 - (AL) HH HEART CENTER LLC | AL | Interventional Cardiology Physician (207RI0011X) |
United | 90723 | $92.62 | 1639266984 - SARITA MUNUSWAMY | 650110437 | FL | Pediatrics Physician (208000000X) |
United | 90723 | $97.97 | 1477591535 - ANNE MORTENSEN | 593259553 | FL | Pediatrics Physician (208000000X) |
United | 90723 | $97.97 | 1699778274 - JULIE DEKLE | 593140335 | FL | Pediatrics Physician (208000000X) |
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 90723 vs. Other Vaccines, Toxoids Codes
The CPT 90723 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 90723 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 |
|---|---|---|
| 90696-CPT | Low | Diphtheria Tetanus Toxoids Acellular Pertussis Vaccine And Inactivated Poliovirus Vaccine (Dtap-Ipv) When Administered To Children 4 Through 6 Years Of Age For Intramuscular Use (Desc Revised 7/1/2015) |
| 90698-CPT | Low | Diphtheria Tetanus Toxoids Acellular Pertussis Vaccine Haemophilus Influenzae Type B Inactivated Poliovirus Vaccine (Dtap-Ipv/Hib) For Intramuscular Use (Desc Revised 7/1/2015) |
| 90700-CPT | Low | Diphtheria Tetanus Toxoids And Acellular Pertussis Vaccine (Dtap) When Administered To Individuals Younger Than 7 Years 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) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90723. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90723 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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