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90667 Iiv vacc pandemic adjuvt im

What 90667 is

CMS fee schedule short descriptor: Iiv vacc pandemic adjuvt im.

Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.

Medicare payment for 90667 (CY2026)

This code has no Physician Fee Schedule rate: Statutory exclusion - not payable under the Physician Fee Schedule. It may be paid under a different fee schedule (clinical laboratory, DMEPOS, anesthesia) or not paid at all - check the relevant CMS schedule.

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Medically Unlikely Edit (MUE)

Medicare caps 90667 at 1 unit per date of service for practitioner claims (MAI 2 - date of service edit (absolute): units above the MUE never pay), rationale: Code Descriptor / CPT Instruction. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with 90667? These codes are bundled into it

90667 is a Column 1 code in 7 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.

Column 2 codeShort descriptionModifier indicator
36591Draw blood off venous device0 - no modifier bypassCheck pair
36592Collect blood from picc0 - no modifier bypassCheck pair
90653Iiv adjuvant vaccine im0 - no modifier bypassCheck pair
90668Iiv vaccine pandemic im0 - no modifier bypassCheck pair
90689Vacc iiv4 no prsrv 0.25ml im1 - modifier may bypassCheck pair
90694Vacc aiiv4 no prsrv 0.5ml im1 - modifier may bypassCheck pair
96523Irrig drug delivery device0 - no modifier bypassCheck pair

90667 is bundled into these codes

90667 appears as a Column 2 code in 24 active edits. Reported with one of these Column 1 codes on the same date of service, 90667 is the code that denies.

Column 1 codeShort descriptionModifier indicator
90655Iiv3 vacc no prsv 0.25 ml im1Check pair
90656Iiv3 vacc no prsv 0.5 ml im1Check pair
90657Iiv3 vaccine splt 0.25 ml im1Check pair
90658Iiv3 vaccine splt 0.5 ml im1Check pair
90660Laiv3 vaccine intranasal1Check pair
90661Cciiv3 vac abx fr 0.5 ml im1Check pair
90662Iiv no prsv increased ag im1Check pair
90664Laiv vacc pandemic intranasl0Check pair
90666Flu vac pandem prsrv free im0Check pair
90672Laiv4 vaccine intranasal0Check pair
90673Riv3 vaccine no preserv im1Check pair
90674Cciiv4 vac no prsv 0.5 ml im1Check pair
90682Riv4 vacc recombinant dna im1Check pair
90685Iiv4 vacc no prsv 0.25 ml im1Check pair
90686Iiv4 vacc no prsv 0.5 ml im1Check pair

Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.