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

Reports vaccine or toxoid administration to a patient through age 18 when a physician or qualified health care professional provides immunization counseling.

CMS RVU26DEffective Oct 1, 2026One payment locality135 Medicare services in 2024

In New Hampshire, Medicare pays $23.91 for 90460 in the office.

$23.91Office (non-facility)
Not available in this settingHospital or facility
+2.3%vs the national office rate ($23.38)

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.

We’ll open 90460 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Hampshire
  2. What 90460 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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 New Hampshire 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. New Hampshire pays $23.91. The RVUs are the same everywhere; the geographic indexes change the dollars.

90460 in New Hampshire vs other payment areas
  1. New Hampshire · this page$23.91
  2. Los Angeles, CA · California$26.22+$2.31
  3. Washington, DC area · District of Columbia$26.55+$2.64
  4. Miami, FL · Florida$25.02+$1.11
  5. Chicago, IL · Illinois$24.37+$0.46
  6. Manhattan, NY · New York$26.70+$2.79
  7. Alaska · Alaska$27.90+$3.99

Other areas in New Hampshire first, then benchmark localities. Bars start at $0.

Every other payment area

90460 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$21.21—
ArkansasArkansas$20.94—
ArizonaArizona$22.82—
Bakersfield, CACalifornia$24.71—
Chico, CACalifornia$24.64—
El Centro, CACalifornia$24.65—
Fresno, CACalifornia$24.64—
Hanford, CACalifornia$24.64—

90460 rates by state

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

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$20.94

$27.90

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
90460 office rate range by state
State / territoryOffice rate rangeLocalities
AK$27.901
AL$21.211
AR$20.941
AZ$22.821
CA$24.64–$30.5629
CO$24.291
CT$24.831
DC$26.551
DE$23.171
FL$23.06–$25.023
GA$21.89–$23.782
GU$25.161
HI$25.161
IA$21.701
ID$21.831
IL$22.45–$24.374
IN$21.941
KS$21.611
KY$21.661
LA$21.62–$22.582
MA$24.16–$26.542
MD$23.58–$26.553
ME$21.93–$23.002
MI$22.16–$23.312
MN$23.351
MO$21.29–$22.663
MS$21.121
MT$23.381
NC$22.131
ND$22.981
NE$21.811
NH$23.911
NJ$25.14–$26.312
NM$22.271
NV$23.281
NY$22.43–$27.295
OH$22.081
OK$21.621
OR$23.12–$25.002
PA$22.11–$24.262
PR$23.541
RI$23.951
SC$22.141
SD$22.941
TN$21.701
TX$21.98–$24.198
UT$22.411
VA$22.93–$26.552
VI$23.541
VT$22.901
WA$24.12–$27.052
WI$22.291
WV$21.701
WY$23.211

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.

How the rate is built · 90460

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.23

0.23 RVUs× 1.000 GPCI

Practice expense0.45

0.45 RVUs× 1.000 GPCI

Malpractice0.02

0.02 RVUs× 1.000 GPCI

Adjusted RVUs

0.7000

Conversion factor

$33.4009

Medicare rate

$23.38

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact New Hampshire inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

11,412

Code
90460
Physician work
0.23
Practice expense
0.45
Malpractice
0.02

GPCI2026.csv

74

Locality
New Hampshire
Physician work
1.000
Practice expense
1.041
Malpractice
0.875
Office calculation for 90460 in New Hampshire
ComponentRVULocality factorAdjusted
Physician work0.23× 1.0000.2300
Practice expense0.45× 1.0410.4684
Malpractice0.02× 0.8750.0175
Total RVUs0.7159
Conversion factor× 33.4009

Office rate, New Hampshire$23.91

Office: (0.23 × 1 + 0.45 × 1.041 + 0.02 × 0.875) × $33.4009 = $23.91

Open 90460 in the RVU calculator

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.

Place of service · 90460

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

$23.38

Higher because the practice carries its own overhead.

How 90460 has changed in New Hampshire

90460 · Office / nonfacility

$23.91

Effective 2026-10-01

The base rate is $1.18 higher than on 2025-10-01, moving from $22.73 to $23.91 (5.2%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $22.73changed to$23.91

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.24 changed to 0.23
    • Practice expense RVU 0.43 changed to 0.45
    • Practice expense GPCI 1.034 changed to 1.041
    • Malpractice GPCI 0.898 changed to 0.875

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $23.39changed to$22.73

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $23.01changed to$23.39

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $23.14changed to$23.01

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.41 changed to 0.43
    • Practice expense GPCI 1.036 changed to 1.034
    • Malpractice GPCI 0.907 changed to 0.898
  5. January 1, 2023

    RVU23A

    $17.34changed to$23.14

    • Conversion factor 34.6062 changed to 33.8872
    • Work RVU 0.17 changed to 0.24
    • Practice expense RVU 0.31 changed to 0.41
    • Malpractice RVU 0.01 changed to 0.02
    • Practice expense GPCI 1.038 changed to 1.036
    • Malpractice GPCI 0.917 changed to 0.907

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $17.48changed to$17.34

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $14.76changed to$17.48

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.22 changed to 0.31
    • Practice expense GPCI 1.042 changed to 1.038
    • Malpractice GPCI 0.984 changed to 0.917

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $17.43changed to$14.76

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.29 changed to 0.22
    • Practice expense GPCI 1.045 changed to 1.042
    • Malpractice GPCI 1.050 changed to 0.984

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $21.55changed to$17.43

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.40 changed to 0.29

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $26.83changed to$21.55

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.54 changed to 0.40
    • Practice expense GPCI 1.052 changed to 1.045
    • Malpractice GPCI 0.962 changed to 1.050

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $26.48changed to$26.83

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.53 changed to 0.54
    • Practice expense GPCI 1.058 changed to 1.052
    • Malpractice GPCI 0.873 changed to 0.962

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $26.57changed to$26.48

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $26.44changed to$26.57

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $25.98changed to$26.44

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.52 changed to 0.53
    • Practice expense GPCI 1.051 changed to 1.058
    • Malpractice GPCI 0.867 changed to 0.873

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    No ratechanged to$25.98

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$23.91Not available in this settingRVU26D
2026-07-01$23.91Not available in this settingRVU26C
2026-04-01$23.91Not available in this settingRVU26B
2026-01-01$23.91Not available in this settingRVU26A
2025-10-01$22.73Not available in this settingRVU25D
2025-07-01$22.73Not available in this settingRVU25C
2025-04-01$22.73Not available in this settingRVU25B
2025-01-01$22.73Not available in this settingRVU25A
2024-10-01$23.39Not available in this settingRVU24D
2024-07-01$23.39Not available in this settingRVU24C
2024-04-01$23.39Not available in this settingRVU24B
2024-03-09$23.39Not available in this settingRVU24AR
2024-01-01$23.01Not available in this settingRVU24A
2023-10-01$23.14Not available in this settingRVU23D
2023-07-01$23.14Not available in this settingRVU23C
2023-04-01$23.14Not available in this settingRVU23B
2023-01-01$23.14Not available in this settingRVU23A
2022-10-01$17.34Not available in this settingRVU22D
2022-07-01$17.34Not available in this settingRVU22C
2022-04-01$17.34Not available in this settingRVU22B
2022-01-01$17.34Not available in this settingRVU22A
2021-10-01$17.48Not available in this settingRVU21D
2021-07-01$17.48Not available in this settingRVU21C
2021-04-01$17.48Not available in this settingRVU21B
2021-01-01$17.48Not available in this settingRVU21A
2020-10-01$14.76Not available in this settingRVU20D
2020-07-01$14.76Not available in this settingRVU20C
2020-04-01$14.76Not available in this settingRVU20B
2020-01-01$14.76Not available in this settingRVU20A
2019-10-01$17.43Not available in this settingRVU19D
2019-07-01$17.43Not available in this settingRVU19C
2019-04-01$17.43Not available in this settingRVU19B
2019-01-01$17.43Not available in this settingRVU19A
2018-10-01$21.55Not available in this settingRVU18D
2018-07-01$21.55Not available in this settingRVU18C
2018-04-01$21.55Not available in this settingRVU18B
2018-01-01$21.55Not available in this settingRVU18AR1
2017-10-01$26.83Not available in this settingRVU17D
2017-07-01$26.83Not available in this settingRVU17C
2017-04-01$26.83Not available in this settingRVU17B
2017-01-01$26.83Not available in this settingRVU17A
2016-10-01$26.48Not available in this settingRVU16D
2016-07-01$26.48Not available in this settingRVU16C
2016-04-01$26.48Not available in this settingRVU16B
2016-01-01$26.48Not available in this settingRVU16A
2015-10-01$26.57Not available in this settingRVU15D
2015-07-01$26.57Not available in this settingRVU15C
2015-04-01$26.44Not available in this settingRVU15B
2015-01-01$26.44Not available in this settingRVU15A
2014-10-01$25.98Not available in this settingRVU14D
2014-07-01$25.98Not available in this settingRVU14C
2014-04-01$25.98Not available in this settingRVU14B
2014-01-01$25.98Not available in this settingRVU14A
2013-10-01Rate data unavailableNot available in this settingRVU13D
2013-07-01Rate data unavailableNot available in this settingRVU13C
2013-04-01Rate data unavailableNot available in this settingRVU13B
2013-01-01Rate data unavailableNot available in this settingRVU13AR

Price 90460 for an earlier date of service

Where the New Hampshire rate applies

New Hampshire is a Medicare payment area, not a city. Our Census mapping connects it to 100 cities and communities in New Hampshire. Some span more than one payment area; confirm with the service ZIP.

  • Alton
  • Amherst
  • Antrim
  • Ashland
  • Bartlett
  • Belmont
  • Bennington
  • Berlin

Browse all communities in New Hampshire

90460 billing questions

When should 90460 be used instead of 90471?

Use 90460 for a patient through age 18 when a physician or qualified health care professional provides immunization counseling. For injectable immunization administration without that counseling, 90471 is the relevant first-administration code.

How are combination vaccines counted?

Report 90460 for the first component of each vaccine and 90461 for each additional component. Count vaccine components, not injections or needle sticks.

Is the vaccine product included in 90460?

No. 90460 represents administration with counseling; report the vaccine product separately using its applicable product code.

What documentation supports 90460?

Document the patient's age, the vaccine administered, and counseling by the physician or qualified health care professional. For a combination vaccine, document enough detail to support the component count.

Can 90460 be used for an oral or nasal vaccine?

Yes, the code applies to any route when its age and counseling criteria are met. Without qualifying counseling, 90473 is the first-administration code for an oral or nasal immunization.

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

Show the CMS file lines behind this rate
RVUs for 90460PPRRVU2026_Oct_nonQPP.csv, line 11,412 (RVU26D)
Geographic factors for New HampshireGPCI2026.csv, line 74 (RVU26D)

Open CMS sourceHow we calculate rates

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