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See a sample rate comparisonCPT 90749 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.
Unlisted Immunization Procedure
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Vaccines, Toxoids |
| Common Place of Service | 11 - Office 20 - Urgent Care Facility |
| Common Modifiers | QW - CLIA Waived Tests 95 - Telemedicine - audio and video |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 90749 |
| Medicaid Fee Schedule | $9.26 median of the 3 states in the free preview · View Medicaid rates for 90749 |
National average reimbursement for CPT 90749 by major payers:
$48.32
$55.00
$38.00
$201.93
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CPT 90749
5 of 25 sample ratesHigher to lower in this preview
Da Pediatric Rehabilitation
$60.00Published rateRestorative Health Rehabilitation Inc
$60.00Published rateAll Ways Homecare Inc
$55.00Published rateDa Pediatric Rehabilitation
$40.00Published rateBrian Dearing
Cardiology Associates Of Mobile, Inc.
$8.61Published rate
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See a sample payer proposalCPT 90749 vs. Other Vaccines, Toxoids Codes
The CPT 90749 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 90749 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 |
|---|---|---|
| 90746-CPT | Low | Hepatitis B Vaccine (Hepb) Adult Dosage 3 Dose Schedule For Intramuscular Use (Desc Revised 7/1/2015) Note: The Age Was Updated To Reflect The Manufacturers Age Allowance. |
| 90749-CPT | Low | Unlisted Immunization Procedure |
| 90882-CPT | Low | Environmental Intervention For Medication Management Purposes On A Psychiatric Patients Behalf With Agencies, Employers Or Institutions; Nurse Pracitioner Rendering Service In Collaborati |
| 90885-CPT | Low | Psychiatric Evaluation Of Hosp, Psychiatric Evaluation Of Hospital Records Otherpsychiatric Reports Psychometric Andor Projectivetests And Other Accumulated Data For Medical Di Agnostic Purposes |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90749. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90749 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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