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

In Washington, DC area, Medicare pays $26.55 for 90460 in the office.

Check a contract rate as a % of Medicare · 90460 nationwide

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.

How Washington, DC area compares for 90460

Across 109 of 109 payment localities, the office rate for 90460 runs from $20.94 in Arkansas to $30.56 in San Benito County, CA. Washington, DC area pays $26.55. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

90460 rates by state

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

See 90460 in every payment locality

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.

Codes related to 90460

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

How 90460 has changed in Washington, DC area

Price 90460 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

• Washington

Browse all communities in District of Columbia

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