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90620

Meningococcal recombinant protein and outer membrane vesicle vaccine, serogroup B (MenB-4C), 2 dose schedule, for intramuscular use

Medicine Immunizations 0.00 Total RVUs
Quick Reference
Meningococcal serogroup B vaccine, 2 dose schedule

Relative Value Units (RVUs)

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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.
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Clinical Information

When to Use

Meningococcal serogroup B vaccine, 2 dose schedule

Time Requirement
Vaccine product code

Common Scenarios

Meningococcal B vaccine, 2 dose
MenB vaccine, 2 dose schedule
Meningococcal recombinant vaccine

Documentation Requirements

  • Vaccine product documented
  • Schedule documented
  • Patient response

Coding Guidelines

Common Modifiers

59 Distinct procedural service

Bundling Rules

  • Vaccine product code
  • Bill separately from administration

Exclusions

  • Do not bill with administration included

Coding Notes

Vaccine product code
2 dose schedule

Clinical scenarios

Meningococcal B vaccine, 2 dose
Meningococcal B vaccine, 2 dose
When to use:Meningococcal serogroup B vaccine, 2 dose schedule
  • Vaccine product documented
  • Schedule documented
  • Patient response
MenB vaccine, 2 dose schedule
MenB vaccine, 2 dose schedule
When to use:Meningococcal serogroup B vaccine, 2 dose schedule
  • Vaccine product documented
  • Schedule documented
  • Patient response
Meningococcal recombinant vaccine
Meningococcal recombinant vaccine
When to use:Meningococcal serogroup B vaccine, 2 dose schedule
  • Vaccine product documented
  • Schedule documented
  • Patient response

Who are you?

Code Details

Code 90620
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.

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Frequently Asked Questions

What is CPT code 90620?

CPT 90620 is the billing code for "Meningococcal recombinant protein and outer membrane vesicle vaccine, serogroup B (MenB-4C), 2 dose schedule, for intramuscular use". Meningococcal serogroup B vaccine, 2 dose schedule

What documentation is required for CPT 90620?

Key documentation requirements for CPT 90620 include: Vaccine product documented; Schedule documented; Patient response. Missing or incomplete documentation is a leading cause of claim denials for this code.

Can CPT 90620 be billed with other codes?

Bundling considerations for CPT 90620: 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 90620?

Common modifiers for CPT 90620 include: 59 (Distinct procedural service). Modifiers indicate special circumstances and can affect reimbursement or prevent claim denials.

What is the time requirement for CPT 90620?

The typical time requirement for CPT 90620 is Vaccine product code. Time-based codes require documentation of the actual time spent providing the service.

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