Skip to main content
90585

BCG vaccine, live, for percutaneous use

Medicine Immunizations 0.00 Total RVUs
Quick Reference
BCG (Bacillus Calmette-Guérin) vaccine product for percutaneous use

Relative Value Units (RVUs)

Calculator →
Work RVU
0.00
Physician effort
PE RVU
0.00
Practice expense
MP RVU
0.00
Malpractice
Total RVU
0.00
Combined value
Dollar reimbursement rates vary by locality and payer. RVUs shown for relative comparison only.
Calculate Payment

Clinical Information

When to Use

BCG (Bacillus Calmette-Guérin) vaccine product for percutaneous use

Time Requirement
Vaccine product code, administration time varies

Common Scenarios

BCG vaccine administration
Tuberculosis vaccine
BCG vaccine, percutaneous
TB vaccine, BCG
BCG live vaccine

Documentation Requirements

  • Vaccine product documented
  • Route of administration documented (percutaneous)
  • Patient response to vaccination

Coding Guidelines

Common Modifiers

59 Distinct procedural service when multiple procedures performed

Bundling Rules

  • Vaccine product code
  • Bill separately from administration
  • May be billed with administration code

Exclusions

  • Do not bill with administration included
  • Do not bill if vaccine not administered

Coding Notes

Vaccine product code
Bill separately from administration
Common for TB prevention

Clinical scenarios

BCG vaccine administration
BCG vaccine administration
When to use:BCG (Bacillus Calmette-Guérin) vaccine product for percutaneous use
  • Vaccine product documented
  • Route of administration documented (percutaneous)
  • Patient response to vaccination
Tuberculosis vaccine
Tuberculosis vaccine
When to use:BCG (Bacillus Calmette-Guérin) vaccine product for percutaneous use
  • Vaccine product documented
  • Route of administration documented (percutaneous)
  • Patient response to vaccination
BCG vaccine, percutaneous
BCG vaccine, percutaneous
When to use:BCG (Bacillus Calmette-Guérin) vaccine product for percutaneous use
  • Vaccine product documented
  • Route of administration documented (percutaneous)
  • Patient response to vaccination

Who are you?

Code Details

Code 90585
Category Medicine
Subcategory Immunizations
Total RVUs 0.00

Medicare Pricing

PFS
2025 National Rate
$0.00
Facility
$0.00
Non-Facility
$0.00
RVU Breakdown
Work RVU:0.00PE RVU:0.00MP RVU:0.00Total RVU:0.00CF:$32.3465Global Days:XXX
OPPS Details
Status:MCopayment:$0.00
Physician Fee Schedule: Medicare pays physicians based on Relative Value Units (RVUs) multiplied by a conversion factor.

Were You Charged for This?

Check Your Bill

Compare your charges against Medicare rates

NCCI Bundling Check

Can 90585 be billed with another code?

Full NCCI Checker

Automate Coding

Let OrbDoc AI automatically suggest codes from your clinical notes.

Patient? Check your bill.

Use our free analyzer to understand charges and spot errors.

Analyze My Bill

Ask OrbDoc AI

Get instant answers about 90585 - pricing, bundling rules, or billing questions.

Ask a Question

Frequently Asked Questions

What is CPT code 90585?

CPT 90585 is the billing code for "BCG vaccine, live, for percutaneous use". BCG (Bacillus Calmette-Guérin) vaccine product for percutaneous use

What documentation is required for CPT 90585?

Key documentation requirements for CPT 90585 include: Vaccine product documented; Route of administration documented (percutaneous); Patient response to vaccination. Missing or incomplete documentation is a leading cause of claim denials for this code.

Can CPT 90585 be billed with other codes?

Bundling considerations for CPT 90585: Vaccine product code. Bill separately from administration Use an NCCI bundling checker to verify specific code combinations before billing.

What modifiers are commonly used with CPT 90585?

Common modifiers for CPT 90585 include: 59 (Distinct procedural service when multiple procedures performed). Modifiers indicate special circumstances and can affect reimbursement or prevent claim denials.

What is the time requirement for CPT 90585?

The typical time requirement for CPT 90585 is Vaccine product code, administration time varies. Time-based codes require documentation of the actual time spent providing the service.

Related resources