CPT code 90480: COVID-19 vaccine administration, initial or only component2026 Medicare rate & RVUs in California

Reports administration of a SARS-CoV-2 vaccine for the initial or only component of a dose, separately from the vaccine product.

CMS RVU26DEffective Oct 1, 202629 payment localities8.4M Medicare services in 2024

CMS doesn’t publish an office rate for 90480 in California.

—Office (non-facility)
—Hospital or facility

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 9 sections
  1. Rate in California
  2. What 90480 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 90480 covers

Code 90480 reports administration of a SARS-CoV-2 vaccine for its initial or only component. It describes the administration service, not the vaccine product. The clinician who administers the vaccine reports it during a vaccination visit. Use 90481 for each additional component when the vaccine has more than one component. Code 90480 is specific to SARS-CoV-2 vaccine administration; code 90471 is used for injectable immunizations outside this SARS-CoV-2-specific service.

Medicare assigns 90480 physician fee schedule status X because it is not a physician service under the Medicare statute, so the physician fee schedule never pays it. When covered, Medicare pays it under another fee schedule or payment system. Report one unit for the initial or only component administered; report additional components with 90481 when applicable. The vaccine product is separate from the administration service and is reported separately when required.

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 90480 pays more and less in California

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

29 of 29 payment localities

90480 office and facility rates by payment locality
Payment localityOfficeFacility
Bakersfield, CAUnavailableUnavailable
Chico, CAUnavailableUnavailable
El Centro, CAUnavailableUnavailable
Fresno, CAUnavailableUnavailable
Hanford, CAUnavailableUnavailable
Los Angeles, CAUnavailableUnavailable
Madera, CAUnavailableUnavailable
Marin County, CAUnavailableUnavailable
Merced, CAUnavailableUnavailable
Modesto, CAUnavailableUnavailable

How the 90480 rate is calculated

Each of 90480’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 · 90480

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.24

0.24 RVUs× 1.000 GPCI

Practice expense0.45

0.45 RVUs× 1.000 GPCI

Malpractice0.02

0.02 RVUs× 1.000 GPCI

Adjusted RVUs

0.7100

Conversion factor

$33.4009

Medicare rate

$23.71

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

Payment rules and modifiers for 90480

90480 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 · 90480

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

—

90480 isn’t priced in this setting.

90480 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 90480

    COVID-19 vaccine administration, initial or only component0.24 wRVU

    Not priced

  • 90481

    SARS-CoV-2 vaccine administration, each additional component0 wRVU

    Not priced

  • 90471

    Immunization administration, first injectable vaccine0.17 wRVU

    $22.04

  • 90460

    Vaccine administration, first or only vaccine component0.23 wRVU

    $23.38

  • 90472

    Vaccine administration, each additional vaccine0.15 wRVU

    $16.03

How to choose

90481SARS-CoV-2 vaccine administrationEach additional component
90480 reports the initial or only SARS-CoV-2 vaccine component; 90481 reports each additional component.
90471Immunization administrationFirst injectable vaccine
90480 is specific to SARS-CoV-2 vaccine administration. Code 90471 is used for injectable immunizations outside that service.
90460Vaccine administrationFirst or only vaccine component
90460 is for immunization administration with counseling for patients through age 18 and uses component-based reporting. Code 90480 is specific to SARS-CoV-2 vaccine administration.
90472Vaccine administrationEach additional vaccine
90472 reports an additional injectable vaccine administration when its primary administration code is reported; it does not report an additional SARS-CoV-2 vaccine component.

90480 billing questions

When should 90480 be used instead of 90471?

Use 90480 for administration of a SARS-CoV-2 vaccine. Code 90471 is used for injectable immunizations outside this SARS-CoV-2-specific service.

How does 90481 relate to 90480?

90480 reports the initial or only component. Report 90481 for each additional component when applicable.

How many units of 90480 are reported?

Report one unit for the initial or only component administered. Additional components are reported with 90481 when applicable.

Does 90480 include the vaccine product?

No. It reports administration, not the vaccine product; report the applicable product separately when required.

Does the physician fee schedule pay 90480?

No. Medicare assigns status X because the service is not a physician service under the Medicare statute. When covered, Medicare pays it under another fee schedule or payment system.

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

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