CPT code 90585: BCG vaccine, percutaneous route2026 Medicare rate & RVUs in Maryland
Reports percutaneous BCG vaccination to help prevent tuberculosis in selected patients at elevated risk of infection.
CMS doesn’t publish an office rate for 90585 in Maryland.
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
On this page 9 sections
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 in Maryland
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Baltimore area, MD | Unavailable | Unavailable |
| Rest of Maryland | Unavailable | Unavailable |
| Washington, DC area | Unavailable | Unavailable |
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
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
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.
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
Fee sheets · Coming soon
Put 90585 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist