Home › Drug Codes › CPT Codes › 90586 · BCG (TICE STRAIN)
Updated October 1st, 2026

BCG (TICE STRAIN) CPT Vaccine Code: 90586

Bcg vaccine intravesical

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Medicare Payment Limit ?
Not published
Not on CMS's current vaccine price files
CDC Cost / Dose ?
$•••.••
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Private Sector Cost / Dose ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
2
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Medicare Coverage CMS publishes no Medicare Part B payment limit for BCG (TICE STRAIN). Vaccines given for routine prevention are generally covered under Medicare Part D rather than Part B.

Vaccine & Product Overview

HCPCS Descriptor Bcg vaccine intravesical
Manufacturer Merck
Route of Administration Percutaneous
Generic Status Single-Source; Branded
Dosage Type Single-Dose
Dosage Form Injection, Powder, Lyophilized, For Solution

About BCG (TICE STRAIN)

BCG (tice Strain) is a medication aligned to the HCPCS CPT Drug Code: 90586 for billing, pricing, and reimbursement purposes in the United States. Classified under Vaccine, it is administered via the percutaneous route and manufactured by Merck.

According to CMS Drug Use Information: This medication is used to treat or prevent certain types of bladder cancer. This medication works by causing the body's defense system (immune system) to become more active. This form of the medication is not used to prevent tuberculosis.

Disclaimer: This is a summary and does not contain all possible information about this product. For complete information about this product or your specific health needs, ask your healthcare professional.

NDC Code Information

2 NDC packages are crosswalked to 90586. Package detail is available to logged-in subscribers.

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BCG (TICE STRAIN) Pricing & Reimbursement

90586 Private Payer Reimbursement
$189.73 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

BCG (TICE STRAIN) Vaccine Administration Codes

The below list of CPT codes is intended for informational purposes only and may not be exhaustive. CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved.

CPT Code Description
51720 Bladder instillation of anticarcinogenic agent, including retention time

BCG (TICE STRAIN) Medically Unlikely Edits (MUE)

The most billing units of 90586 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 each.

Practitioner Office & Hospital Outpatient
1 unit / day
Same limit in both settings

MAI 2 · Date of Service Edit: Policy. Absolute per-day limit set by policy or regulation; units above it are not payable, and denials are not appealable on medical-necessity grounds. See all MUE limits →

BCG (TICE STRAIN) Clinical Information

Indications and drug classification.

Treated Diseases & Conditions

This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.

Prevention of tuberculosis
Drug Class
Actively Acquired Immunity [PE]BCG Vaccine [CS]Increased Immunologically Active Molecule Activity [PE]Increased Macrophage Proliferation [PE]Live Attenuated Bacillus Calmette-Guerin Immunotherapy [EPC]Live Attenuated Bacillus Calmette-Guerin Vaccine [EPC]VaccinesAttenuated [CS]

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Frequently Asked Questions

Is there an available Bcg (Tice Strain) billing and coding guide?
Our team has not identified a manufacturer-published source of billing and coding information for BCG (TICE STRAIN).
Are there any available Bcg (Tice Strain) patient assistance programs?
BCG (TICE STRAIN) patient assistance information can be found through Multiple Manufacturers. Visit Here →
Where can I find Bcg (Tice Strain) prescribing information?
BCG (TICE STRAIN) prescribing information can be found at the link below: Visit Here →
Where can I find Bcg (Tice Strain) side effect information?
Our team has not yet identified a source of side effects information for BCG (TICE STRAIN). Please check back in a few weeks.
Does billing BCG (TICE STRAIN) require JZ/JW wastage modifiers?
CMS does not include BCG (TICE STRAIN) (90586) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing 90586. For more information, visit the link below.

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