CPT 2026 · Vaccines/Immunization

CPT 90707

Global XXX

Mmr vaccine sc

Effective 2026-04-01 Conv. factor $33.4009
No national RVU
Payment Methodology
E
Status Indicator
10
NCCI Partners
XXX
Global Period
No national RVU

This code does not have a national work RVU on the current Physician Fee Schedule. Pricing may be carrier-determined, non-covered, or tracked via a separate methodology.

CPT 90707 Billing & Documentation Guide

CPT code 90707 (Mmr vaccine sc) is classified under Vaccines/Immunization with a global period indicator of XXX. This code uses the No national RVU payment methodology rather than standard RVU-based Physician Fee Schedule pricing. Refer to the methodology notice above for billing implications.

When billing 90707, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 90707 with related codes; this code has 10 PTP bundling relationships on file (see table below).

Payment Status & Global Period

CMS Status Indicator
E

Excluded from MPFS by regulation

Global Period
XXX

No global period (E/M and other non-procedural services)

MUE Limit (Medically Unlikely Edits)

Max units per beneficiary per date of service
1
Rationale: Code Descriptor / CPT Instruction
Adjudication: Date of Service (Policy)
Source: CMS NCCI MUE Practitioner Services, effective 2026-04-01.

Submitting more than 1 units of 90707 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.

NCCI Bundling Edits, CPT 90707

Procedure-to-procedure (PTP) edits. If you bill any of these codes with 90707 on the same date of service, review the modifier indicator and payer policy before submission.

Partner Code Relationship Modifier Allowed Rationale
36591 Column 1 (primary), can be billed with modifier No CPT Manual or CMS manual coding instruction
36592 Column 1 (primary), can be billed with modifier No CPT Manual or CMS manual coding instruction
90480 Column 1 (primary), can be billed with modifier 9 CPT Manual or CMS manual coding instruction
90708 Column 1 (primary), can be billed with modifier No Mutually exclusive procedures
90709 Column 1 (primary), can be billed with modifier No Mutually exclusive procedures
90710 Column 1 (primary), can be billed with modifier No Mutually exclusive procedures
90782 Column 1 (primary), can be billed with modifier Yes CPT Manual or CMS manual coding instruction
96523 Column 1 (primary), can be billed with modifier No CPT Manual or CMS manual coding instruction
90704 Column 2 (secondary), bundled into primary No Mutually exclusive procedures
90705 Column 2 (secondary), bundled into primary No Mutually exclusive procedures

Frequently Asked Questions, CPT 90707

What does CPT code 90707 mean? +

CPT code 90707 represents: Mmr vaccine sc. It's in the Vaccines/Immunization category with a global period of XXX.

What is the Medicare reimbursement for CPT 90707? +

This code does not have a national work RVU on the current Physician Fee Schedule. Pricing may be carrier-determined, non-covered, or tracked via a separate methodology.

What modifiers can I use with CPT 90707? +

Medicine section spans a wide range: therapy services use GP/GO/GN (PT/OT/SLP plans of care) and KX (above cap with documentation). Drug administration uses JW (waste) and JZ (no waste). Professional/technical split applies to some diagnostic codes.

What bundling edits apply to CPT 90707? +

This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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