CPT 90733 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 • SE - Scene to Residential facility |
| Complexity Level | Moderate |
National average reimbursement for CPT 90733 by major payers:
$77.14
$157.51
$138.73
$332.86
| 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 90733 | ||||||
United | 90733 | $125.50 | 1851390637 - BAYCARE HOME CARE, INC. | 593582520 - (FL) BAYCARE HOME CARE INC | FL | Home Health Agency (251E00000X) |
United | 90733 | $177.17 | 1326306937 - ANU MATHUR | 581672987 - (IL) EDWARD HEALTH VENTURES | IL | Psychiatry Physician (2084P0800X) |
United | 90733 | $164.03 | 1689787426 - KAREN SEVERSON | 364015560 - LOYOLA UNIVERSITY MEDICAL CENTER | FL | Psychiatry Physician (2084P0800X) |
United | 90733 | $174.22 | 1851825392 - ALEXIA COPENHAVER | 376000511 - THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS | IL | Psychiatry Physician (2084P0800X) |
United | 90733 | $158.69 | 1528164829 - GUOSHI ZHANG | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | IL | Psychiatry Physician (2084P0800X) |
United | 90733 | $125.50 | 1821081720 - BAYCARE HOME CARE, INC. | 593582520 - (FL) BAYCARE HOME CARE INC | FL | Home Health Agency (251E00000X) |
United | 90733 | $197.39 | 1013112333 - UTPAL DHRUVE | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | IL | Psychiatry Physician (2084P0800X) |
United | 90733 | $164.49 | 1013112333 - UTPAL DHRUVE | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | IL | Psychiatry Physician (2084P0800X) |
United | 90733 | $147.64 | 1962664789 - JAMIE EVANS | 910844563 | WI | Psychiatry Physician (2084P0800X) |
United | 90733 | $147.64 | 1114196995 - ANGELA GREEN | 910844563 | LA | Psychiatry Physician (2084P0800X) |
United | 90733 | $165.36 | 1649610239 - MICHAEL BYRNE | 911780160 | IL | Psychiatry Physician (2084P0800X) |
United | 90733 | $147.64 | 1730214206 - KALYANI GAVINI | 371158318 - (IL) SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC | IL | Child & Adolescent Psychiatry Physician (2084P0804X) |
United | 90733 | $167.77 | 1083979124 - RAHUL SHARMA | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | IL | Psychiatry Physician (2084P0800X) |
United | 90733 | $169.80 | 1225211600 - JOHN MILLICHAP | 260899565 - MERCY SPECIALTY CLINIC | NC | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 90733 | $165.36 | 1144203753 - HAIDAR KABBANI | 911780160 | OH | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
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 90733 vs. Other Vaccines, Toxoids Codes
The CPT 90733 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 90733 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 |
|---|---|---|
| 90396 | High | Varicella-Zoster Immune Globulin Human For Intramuscular Use |
| 90732 | Low | Pneumococcal Polysaccharide Vaccine 23-Valent (Ppsv23) Adult Or Immunosuppressed Patient Dosage When Administered To Individuals 2 Years Or Older For Subcutaneous Or Intramuscular Use (Desc Revised 7/1/2015) |
| 90733 | Low | Meningococcal Polysaccharide Vaccine Serogroups A C Y W-135 Quadrivalent (Mpsv4) For Subcutaneous Use (Desc Rsvd (7/1/2015) |
| 90734 | Low | Meningococcal Conjugate Vaccine Serogroups A C W Y Quadrivalent Diphtheria Toxoid Carrier (Menacwy-D) Or Crm197 Carrier (Menacwy-Crm) For Intramuscular Use (Desc Revised 7/1/2019) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90733. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90733 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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