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CPT code 90585: BCG vaccine, percutaneous route2026 Medicare rate & RVUs

Reports percutaneous BCG vaccination to help prevent tuberculosis in selected patients at elevated risk of infection.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare rate · 90585

BCG vaccine, percutaneous route

Office or facility?

Work RVUs
0
Total RVUs
0.00
Global days
XXX

National rate · 2026

—

Not priced in the facility setting.

See every locality for 90585 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 90585 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 90585 covers

Bacille Calmette-Guérin (BCG) is a live vaccine used to reduce tuberculosis risk. This service covers vaccine delivered through the skin by a percutaneous technique, often using multiple punctures. It is used in selected patients for whom TB prevention is indicated, rather than as treatment for bladder disease. Immunization clinicians may report it in public health and other clinical settings. BCG placed in the bladder is a separate service represented by 90586.

CMS assigns 90585 physician fee schedule status E, excluding it from that schedule. When Medicare covers the item or service, payment is made under another payment method. The code distinguishes percutaneous BCG vaccine from intravesical BCG. Vaccine administration is a separate service and may be reported with an applicable immunization administration code when its requirements are met.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 90585 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

90585 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailableUnavailable
AlaskaUnavailableUnavailable
ArizonaUnavailableUnavailable
ArkansasUnavailableUnavailable
Atlanta, GAUnavailableUnavailable
Austin, TXUnavailableUnavailable
Bakersfield, CAUnavailableUnavailable
Baltimore area, MDUnavailableUnavailable
Beaumont, TXUnavailableUnavailable
Brazoria, TXUnavailableUnavailable

90585 rates by state

Office rate range in each state. Select a state to see its payment localities.

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Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
90585 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 90585 rate is calculated

Each of 90585’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 90585

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense0.00

0.00 RVUs× 1.000 GPCI

Malpractice0.00

0.00 RVUs× 1.000 GPCI

Adjusted RVUs

0.0000

Conversion factor

$33.4009

Medicare rate

$0.00

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 90585

90585 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Place of service · 90585

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

—

90585 isn’t priced in this setting.

90585 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 90585

    BCG vaccine, percutaneous route0 wRVU

    Not priced

  • 90586

    Intravesical BCG, bladder cancer treatment0 wRVU

    Not priced

  • 90471

    Immunization administration, first injectable vaccine0.17 wRVU

    $22.04

  • 90460

    Vaccine administration, first or only vaccine component0.23 wRVU

    $23.38

How to choose

90586Intravesical BCGBladder cancer treatment
Use 90585 for percutaneous BCG vaccination to help prevent tuberculosis. 90586 is for BCG placed into the bladder.
90471Immunization administrationFirst injectable vaccine
90585 identifies the BCG vaccine product; 90471 identifies an immunization administration service when applicable.
90460Vaccine administrationFirst or only vaccine component
90585 identifies the vaccine product. 90460 reports qualifying immunization administration for a patient through age 18 when the required counseling is provided.

Codes related to 90585

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 90585
CodeHow it relatesNational office range
Same family
90586Intravesical BCG, bladder cancer treatmentRelated BCG vaccine code for intravesical administration.No office rate
Often billed with
90471Immunization administration, first injectable vaccineImmunization administration service that may accompany the vaccine product.$19.62–$29.60
90460Vaccine administration, first or only vaccine componentAdministration code for qualifying immunization counseling for patients through age 18.$20.94–$30.56

90585 billing questions

How is 90585 different from 90586?

90585 is for percutaneous BCG vaccination to help prevent tuberculosis. 90586 is for BCG placed into the bladder.

Is vaccine administration included?

The vaccine product and its administration are distinct services. An applicable immunization administration code may be reported when its requirements are met.

What does Medicare status E mean for 90585?

CMS excludes 90585 from the physician fee schedule. When Medicare covers the item or service, payment is made under another payment method.

Does 90585 identify the route?

Yes. The code identifies percutaneous BCG; 90586 identifies intravesical BCG.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates

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