CPT 90739 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 • UD |
| Complexity Level | Moderate |
National average reimbursement for CPT 90739 by major payers:
$151.43
$165.66
$192.82
$183.32
| 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 90739 | ||||||
United | 90739 | $166.82 | 1497966287 - JAMES TOWERY | 631119002 - (AL) BIRMINGHAM HEART CLINIC, PC | AL | Interventional Cardiology Physician (207RI0011X) |
United | 90739 | $154.66 | 1659996767 - BLUESKY TELEPSYCH | 851408702 - BLUESKY TELEPSYCH | IL | Psychiatry Physician (2084P0800X) |
United | 90739 | $166.82 | 1003049966 - GIRISHKUMAR DHORAJIA | 850703768 - (IL) CARLE WEST PHYSICIAN GROUP INC | IL | Psychiatry Physician (2084P0800X) |
United | 90739 | $322.48 | 1871912683 - LAUREN SCHUMACHER | 943281657 | CA | Psychiatry Physician (2084P0800X) |
United | 90739 | $166.82 | 1437438249 - KAPIL AEDMA | 370661223 - METHODIST MEDICAL CENTER OF ILLINOIS | IL | Child & Adolescent Psychiatry Physician (2084P0804X) |
United | 90739 | $154.66 | 1285834440 - LARON PHILLIPS | 842494027 - BRIGHTSIDE MEDICAL | KS | Psychiatry Physician (2084P0800X) |
United | 90739 | $147.63 | 1881918415 - TUSHAR ADVANI | 910844563 | MT | Psychiatry Physician (2084P0800X) |
United | 90739 | $174.19 | 1255696290 - COURTNEY ROMBA | 364187449 | IL | Psychiatry Physician (2084P0800X) |
United | 90739 | $140.60 | 1457358053 - M. AHMED | 203730869 - (AL) RIVER REGION CARDIOLOGY ASSOCIATES, P.C. | AL | Interventional Cardiology Physician (207RI0011X) |
United | 90739 | $177.16 | 1164737490 - MOHAN EDUPUGANTI | 208630863 | MO | Interventional Cardiology Physician (207RI0011X) |
United | 90739 | $275.67 | 1790936540 - SRISHTI NANGIA | 131623978 | IL | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 90739 | $174.19 | 1043358781 - JOSEPH COOPER | 376000511 - THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS | IL | Psychiatry Physician (2084P0800X) |
United | 90739 | $154.66 | 1578097846 - CHRISTOPHER LOMBARDI | 205566098 | IL | Psychiatry Physician (2084P0800X) |
United | 90739 | $140.60 | 1275564197 - PAUL BERKOWITZ | 363330928 - (IL) PRESENCE HEALTHCARE SERVICES | AZ | Psychiatry Physician (2084P0800X) |
United | 90739 | $220.58 | 1700226206 - ALIESJE SORGELOOS | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | IL | 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 90739 vs. Other Vaccines, Toxoids Codes
The CPT 90739 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 90739 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 | Low | Rho(D) Immune Globulin Human Mini-Dose For Intramuscular Use |
| 90396 | High | Varicella-Zoster Immune Globulin Human For Intramuscular Use |
| 90739 | Low | Hepatitis B Vaccine (Hepb) Cpg-Adjuvanted Adult Dosage 2 Dose Or 4 Dose Schedule For Intramus- Cular Use (Desc Rvsd 7/1/22) |
| 90740 | Low | Hepatitis B Vaccine (Hepb) Dialysis Or Immunosuppressed Patient Dosage 3 Dose Schedule For Intramuscular Use (Desc Rsvd 7/1/2015) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90739. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90739 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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