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See a sample rate comparisonHealthcare 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 99 - Other POS |
| Common Modifiers | SL EP - Residential facility to Physician's office |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 90748 |
| Medicaid Fee Schedule | $33.98 median of the 7 states in the free preview · View Medicaid rates for 90748 |
National average reimbursement for CPT 90748 by major payers:

$35.96

$54.16

$47.48

$49.24
Choose a payer to see a sample of rates for CPT 90748.
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
Joseph Pepitone
Edward Health Ventures
Mary Fahrmeier
Loyola University Medical Center
Mary Fahrmeier
Baycare Home Care, Inc.
Baycare Home Care Inc
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Rate Benchmarking
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See a sample payer proposalCPT 90748 vs. Other Vaccines, Toxoids Codes
The CPT 90748 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 90748 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 |
|---|---|---|
| 90739-CPT | Low | Hepatitis B Vaccine Solution, Hepatitis B Vaccine Solution. The Vaccine May Be Given In A Series Of Shots And Provides Protection Against Infection With The Hepatitis B Virus. |
| 90740-CPT | Low | Hepatitis B Vaccine Solution, Hepatitis B Vaccine Solution. The Vaccine May Be Given In A Series Of Shots And Provides Protection Against Infection With The Hepatitis B Virus. |
| 90744-CPT | Low | Hepatitis B Vaccine Solution, Hepatitis B Vaccine Solution. The Vaccine May Be Given In A Series Of Shots And Provides Protection Against Infection With The Hepatitis B Virus. |
| 90748-CPT | Low | Hepb-Hib Vaccine Solution, Hepatitis B And Hib Combined Vaccine Solution. The Vaccine Provides Protection Against Infection By The Hepatitis B Virus And The Hib (Haemophilus Influenza B) Bacterial Infection. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90748. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90748 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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