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See a sample rate comparisonCPT 90732 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.
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
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Vaccines, Toxoids |
| Common Place of Service | 11 - Office 60 - Mass Immunization Center |
| Common Modifiers | SL JZ - Zero drug amount discarded/not administered to any patient |
| Complexity Level | Low |
| Medicare Fee Schedule | $133.47 per 1 dose (October 2026 ASP) · View Medicare rates for 90732 |
| Medicaid Fee Schedule | $124.87 median of the 8 states in the free preview · View Medicaid rates for 90732 |
National average reimbursement for CPT 90732 by major payers:
$142.47
$130.39
$152.65
$336.50
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CPT 90732
5 of 25 sample ratesHigher to lower in this preview
Tittymol Mathew
Dover Internal Medicine LLC
$140.50Published rateHyun Im
$140.50Published rateJake Gurland
Jake Gurland Md
$117.08Published rateJennifer Peos
Jennifer R Peos Md LLC
$117.08Published rateHyun Im
$117.08Published rate
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See a sample payer proposalCPT 90732 vs. Other Vaccines, Toxoids Codes
The CPT 90732 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 90732 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 |
|---|---|---|
| 90385-CPT | Low | Preventive For Rh Blood Type, An Iv Treatment To Prevent Complications In A Pregnancy Where The Mother And Fetus Have Rh-Opposite Blood Types. |
| 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 |
| 90733-CPT | Low | Meningitis Vaccine Solution, Meningococcal Vaccine Solution. The Vaccine Is Given To Prevent Infection With The Meningococcus Bacteria Which Can Cause Meningitis (Infection In The Tissue Surrounding The Brain) And Other Serious Infections. |
| 90734-CPT | Low | Meningitis Vaccine Solution, Meningococcal Vaccine Solution. The Vaccine Is Given To Prevent Infection With The Meningococcus Bacteria Which Can Cause Meningitis (Infection In The Tissue Surrounding The Brain) And Other Serious Infections. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90732. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90732 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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