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

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 Mexico, Medicare pays $22.27 for 90460 in the office.

$22.27Office (non-facility)
Not available in this settingHospital or facility
−4.7%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 Mexico
  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 Mexico 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 Mexico pays $22.27. The RVUs are the same everywhere; the geographic indexes change the dollars.

90460 in New Mexico vs other payment areas
  1. New Mexico · this page$22.27
  2. Los Angeles, CA · California$26.22+$3.95
  3. Washington, DC area · District of Columbia$26.55+$4.28
  4. Miami, FL · Florida$25.02+$2.75
  5. Chicago, IL · Illinois$24.37+$2.10
  6. Manhattan, NY · New York$26.70+$4.43
  7. Alaska · Alaska$27.90+$5.63

Other areas in New Mexico 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 Mexico 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

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Office calculation for 90460 in New Mexico
ComponentRVULocality factorAdjusted
Physician work0.23× 1.0000.2300
Practice expense0.45× 0.9170.4127
Malpractice0.02× 1.2010.0240
Total RVUs0.6667
Conversion factor× 33.4009

Office rate, New Mexico$22.27

Office: (0.23 × 1 + 0.45 × 0.917 + 0.02 × 1.201) × $33.4009 = $22.27

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 Mexico

90460 · Office / nonfacility

$22.27

Effective 2026-10-01

The base rate is $1.12 higher than on 2025-10-01, moving from $21.15 to $22.27 (5.3%).

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

    $21.15changed to$22.27

    • 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 0.908 changed to 0.917
    • Malpractice GPCI 1.172 changed to 1.201

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $21.77changed to$21.15

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $21.41changed to$21.77

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $21.46changed to$21.41

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.41 changed to 0.43
    • Practice expense GPCI 0.902 changed to 0.908
    • Malpractice GPCI 1.169 changed to 1.172
  5. January 1, 2023

    RVU23A

    $15.90changed to$21.46

    • 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 0.896 changed to 0.902
    • Malpractice GPCI 1.166 changed to 1.169

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $16.03changed to$15.90

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $13.78changed to$16.03

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.22 changed to 0.31
    • Practice expense GPCI 0.908 changed to 0.896
    • Malpractice GPCI 1.207 changed to 1.166

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $16.20changed to$13.78

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.29 changed to 0.22
    • Practice expense GPCI 0.921 changed to 0.908
    • Malpractice GPCI 1.247 changed to 1.207

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $19.83changed to$16.20

    • 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

    $24.36changed to$19.83

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.54 changed to 0.40
    • Practice expense GPCI 0.920 changed to 0.921
    • Malpractice GPCI 1.204 changed to 1.247

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $23.94changed to$24.36

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.53 changed to 0.54
    • Practice expense GPCI 0.919 changed to 0.920
    • Malpractice GPCI 1.161 changed to 1.204

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $24.03changed to$23.94

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $23.91changed to$24.03

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $23.58changed to$23.91

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.52 changed to 0.53
    • Practice expense GPCI 0.918 changed to 0.919
    • Malpractice GPCI 1.079 changed to 1.161

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $24.20changed to$23.58

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.58 changed to 0.52
    • Practice expense GPCI 0.916 changed to 0.918
    • Malpractice GPCI 0.997 changed to 1.079

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $24.20

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$22.27Not available in this settingRVU26D
2026-07-01$22.27Not available in this settingRVU26C
2026-04-01$22.27Not available in this settingRVU26B
2026-01-01$22.27Not available in this settingRVU26A
2025-10-01$21.15Not available in this settingRVU25D
2025-07-01$21.15Not available in this settingRVU25C
2025-04-01$21.15Not available in this settingRVU25B
2025-01-01$21.15Not available in this settingRVU25A
2024-10-01$21.77Not available in this settingRVU24D
2024-07-01$21.77Not available in this settingRVU24C
2024-04-01$21.77Not available in this settingRVU24B
2024-03-09$21.77Not available in this settingRVU24AR
2024-01-01$21.41Not available in this settingRVU24A
2023-10-01$21.46Not available in this settingRVU23D
2023-07-01$21.46Not available in this settingRVU23C
2023-04-01$21.46Not available in this settingRVU23B
2023-01-01$21.46Not available in this settingRVU23A
2022-10-01$15.90Not available in this settingRVU22D
2022-07-01$15.90Not available in this settingRVU22C
2022-04-01$15.90Not available in this settingRVU22B
2022-01-01$15.90Not available in this settingRVU22A
2021-10-01$16.03Not available in this settingRVU21D
2021-07-01$16.03Not available in this settingRVU21C
2021-04-01$16.03Not available in this settingRVU21B
2021-01-01$16.03Not available in this settingRVU21A
2020-10-01$13.78Not available in this settingRVU20D
2020-07-01$13.78Not available in this settingRVU20C
2020-04-01$13.78Not available in this settingRVU20B
2020-01-01$13.78Not available in this settingRVU20A
2019-10-01$16.20Not available in this settingRVU19D
2019-07-01$16.20Not available in this settingRVU19C
2019-04-01$16.20Not available in this settingRVU19B
2019-01-01$16.20Not available in this settingRVU19A
2018-10-01$19.83Not available in this settingRVU18D
2018-07-01$19.83Not available in this settingRVU18C
2018-04-01$19.83Not available in this settingRVU18B
2018-01-01$19.83Not available in this settingRVU18AR1
2017-10-01$24.36Not available in this settingRVU17D
2017-07-01$24.36Not available in this settingRVU17C
2017-04-01$24.36Not available in this settingRVU17B
2017-01-01$24.36Not available in this settingRVU17A
2016-10-01$23.94Not available in this settingRVU16D
2016-07-01$23.94Not available in this settingRVU16C
2016-04-01$23.94Not available in this settingRVU16B
2016-01-01$23.94Not available in this settingRVU16A
2015-10-01$24.03Not available in this settingRVU15D
2015-07-01$24.03Not available in this settingRVU15C
2015-04-01$23.91Not available in this settingRVU15B
2015-01-01$23.91Not available in this settingRVU15A
2014-10-01$23.58Not available in this settingRVU14D
2014-07-01$23.58Not available in this settingRVU14C
2014-04-01$23.58Not available in this settingRVU14B
2014-01-01$23.58Not available in this settingRVU14A
2013-10-01$24.20Not available in this settingRVU13D
2013-07-01$24.20Not available in this settingRVU13C
2013-04-01$24.20Not available in this settingRVU13B
2013-01-01$24.20Not available in this settingRVU13AR

Price 90460 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

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 MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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