CPT Code 90613Complete Billing & Coding Guide (2026)Inf&sarscov2 vacc 40/0.4 im
About CPT 90613
CPT 90613 is a Current Procedural Terminology code in the Vaccines/Immunization category maintained by the American Medical Association. The CMS short descriptor reads "Inf&sarscov2 vacc 40/0.4 im". For the full AMA long descriptor and clinical guidance, refer to the current CPT code manual.
Documentation specificity, correct ICD-10 linkage, and modifier accuracy determine whether 90613 pays cleanly or triggers a denial. Verify CMS National Physician Fee Schedule status, applicable Medicare LCDs, and any payer-specific medical policies before submission.
Verify the current CMS National Physician Fee Schedule and any local Medicare Administrative Contractor LCDs before billing 90613. Commercial payer medical policies can impose additional bundling, prior authorization, or documentation requirements beyond national rules.
Code Properties
RVU Breakdown
Every CPT code’s Medicare payment is calculated from three Relative Value Unit components: physician work, practice expense, and malpractice. Together they multiply by the conversion factor to produce the payment amount.
Payment = Total RVU × Conversion Factor ($33.4009) × Geographic Adjustment (GPCI). National averages shown. Actual payment varies by locality.
Applicable Modifiers
Modifiers commonly paired with 90613 based on its category. Apply only when the clinical circumstance warrants. Incorrect modifier use is a top audit target.
Modifier audits catch what scrubbers miss. Our AAPC-certified team reviews every modifier choice on 90613 against the chart documentation before submission, surfacing missed and misapplied modifiers across the practice.
Find the revenue leakage in your 90613 claims.
Wrong modifier, missing documentation, bundling without justification, stale ICD-10 linkage: these are the silent revenue killers on Vaccines/Immunization claims. Our AAPC-certified team audits your last 90 days of 90613 claims, surfaces the recoverable dollars, and appeals them. Free, no obligation.
Losing revenue on CPT 90613? We’ll find it.
We audit your last 90 days of claims and surface the recoverable revenue leakage: wrong modifiers, missed bundling appeals, ICD-10 specificity gaps. AAPC-certified coders. 2.49% of collections. No setup fees.
Get Your Free Billing Assessment
Free audit, no obligation. We'll review your billing and show you exactly where revenue is leaking.
Related CPT Codes
Codes in the same family as 90613
Everything about CPT 90613
What does CPT code 90613 cover?
CPT 90613 is a Current Procedural Terminology code in the Vaccines/Immunization category maintained by the American Medical Association. The CMS short descriptor reads "Inf&sarscov2 vacc 40/0.4 im". For the full AMA long descriptor and clinical guidance, refer to the current CPT code manual.
What is the Medicare payment for CPT 90613?
The national average Medicare payment for CPT 90613 is approximately $0 in a non-facility setting and $0 in a facility setting. Actual payment varies by locality based on GPCI adjustments. Total RVU is 0 with a conversion factor of $33.4009.
What is the global period for CPT 90613?
CPT 90613 has no global period (indicator XXX). There are no post-operative day restrictions tied to this code. Refer to CMS National Physician Fee Schedule rules and any applicable NCCI edits when billing on the same date as other services.
CPT codes and descriptions are copyright of the American Medical Association. RVU values reflect current CMS publications. Actual payment varies by locality. Commercial payer rates vary by contract.
Free 90-Day AR Recovery Audit
We audit your last 90 days of claims and surface the revenue leakage: wrong modifiers, missed bundling appeals, ICD-10 specificity gaps. AAPC-certified coders. 2.49% of collections. No setup fees.