CPT code 90471: Immunization administration, first injectable vaccine2026 Medicare rate & RVUs in Texas
Report 90471 for administration of one injectable vaccine, including a combination vaccine or toxoid, when the service meets the code’s route criteria.
Medicare pays $20.58–$22.95 for 90471 in the office in Texas, from Beaumont, TX to Austin, TX. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
What 90471 covers
90471 represents administration of one vaccine by percutaneous, intradermal, subcutaneous, or intramuscular route. It applies to an injectable vaccine product whether the product contains one antigen or is a combination vaccine or toxoid; report the vaccine product separately. Physicians and clinical staff commonly provide this service in physician offices and outpatient settings.
Report one unit for one vaccine administration. When additional injectable vaccines are administered in the same encounter, report 90472 for each additional administration. Select the administration code by route and applicable counseling criteria, not just by the vaccine’s name. Documentation should identify the vaccine, route, date, and administering clinician. Under the CMS incident-to rule, the service may be billed only when performed under physician supervision.
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 90471 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 payment localities
$20.58 to $22.95
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | $22.95 | Unavailable |
| Beaumont, TX | $20.58 | Unavailable |
| Brazoria, TX | $21.87 | Unavailable |
| Dallas, TX | $21.98 | Unavailable |
| Fort Worth, TX | $21.83 | Unavailable |
| Galveston, TX | $21.92 | Unavailable |
| Houston, TX | $22.10 | Unavailable |
| Rest of Texas | $21.19 | Unavailable |
How the 90471 rate is calculated
Each of 90471’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 · 90471
RVUs × geographic indexes × conversion factor
Work0.17
0.17 RVUs× 1.000 GPCI
Practice expense0.48
0.48 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
0.6600
Conversion factor
$33.4009
Medicare rate
$22.04
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 90471
The CMS indicators that decide how 90471 is paid alongside other services.
CMS payment indicators · 90471
Immunization administration, first injectable vaccine
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 5 | Incident-to service. |
90471 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 90460Vaccine administrationFirst or only vaccine component
- 90460 applies when a physician or other qualified health care professional counsels a patient 18 or younger about the vaccine. 90471 reports injectable administration without that counseling-based criterion.
- 90472Vaccine administrationEach additional vaccine
- 90471 reports one injectable vaccine administration; 90472 reports each additional injectable vaccine administration in the same encounter.
- 90473Vaccine administrationFirst oral or intranasal vaccine
- 90473 is for oral or intranasal vaccine administration. Use 90471 for the specified percutaneous or injected routes.
- 90480COVID-19 vaccine administrationInitial or only component
- 90480 is the administration code specific to a SARS-CoV-2 vaccine; 90471 describes administration of other injectable vaccines.
90471 billing questions
When should 90471 be reported instead of 90460?
Use 90471 for an injectable vaccine when the criteria for the counseling-based code are not met. Code 90460 applies to patients 18 or younger when a physician or other qualified health care professional provides counseling about the vaccine.
Is the vaccine product included in 90471?
No. 90471 reports the administration service; report the vaccine product separately.
Can 90471 and 90472 be reported together?
Yes. Report 90471 for one injectable vaccine administration and 90472 for each additional injectable vaccine administered in the same encounter.
Does 90471 cover oral or intranasal vaccines?
No. For an oral or intranasal vaccine administration, use 90473 for one vaccine; 90474 is the add-on code for each additional oral or intranasal vaccine.
Can clinical staff perform the service?
Yes, but under the CMS incident-to rule, 90471 may be billed only when the service is performed under physician supervision.
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
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