CPT code 90460: Vaccine administration, first or only vaccine component2026 Medicare rate & RVUs

Medicare pays $23.38 for 90460 nationally in the office. Local office rates run $20.94–$30.56.

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

What 90460 covers

90460 represents administration of a vaccine or toxoid to a patient through age 18 when a physician or other qualified health care professional provides counseling about the immunization. It applies to any route. Pediatricians, family physicians, and other eligible clinicians commonly report it during well-child or immunization visits when counseling accompanies the dose. The vaccine product is identified separately with its product code.

Select 90460 for the first or only component of each vaccine administered, not for each injection. For a combination vaccine, report 90460 for its first component and 90461 for each additional component; separate single-component vaccines each have their own first component. Documentation should identify the patient's age, the vaccine administered, counseling by the physician or qualified health care professional, and the component count for combination products. The CMS Physician Fee Schedule assigns work, practice-expense, and malpractice RVUs to this administration service.

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 90460 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

90460 rates by state

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

How the 90460 rate is calculated

Each of 90460’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.

Payment rules and modifiers for 90460

90460 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.

90460 compared with similar codes

How to choose

90461Vaccine administrationEach additional component

90460 represents the first or only component of each vaccine. Use 90461 for each additional component of that vaccine.

90471Immunization administrationFirst injectable vaccine

90471 is for first injectable immunization administration without the counseling requirement of 90460. 90460 requires physician or qualified health care professional counseling for a patient through age 18.

90472Vaccine administrationEach additional vaccine

90472 is used for additional injectable immunization administration in the administration-code pathway without 90460's counseling criteria. 90460 and 90461 count vaccine components when counseling is provided.

90473Vaccine administrationFirst oral or intranasal vaccine

90473 is for first oral or nasal immunization administration without 90460's counseling criteria. 90460 can apply to any route when its age and counseling requirements are met.

Codes related to 90460

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

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