CPT code 90481: SARS-CoV-2 vaccine administration, each additional component2026 Medicare rate & RVUs in Oregon
Reports administration of each additional SARS-CoV-2 vaccine component after the initial or only component, with 90480 identifying the initial component.
CMS doesn’t publish an office rate for 90481 in Oregon.
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 90481 covers
90481 identifies administration of an additional component of a SARS-CoV-2 vaccine. It describes the administration service rather than the vaccine product. The code is distinct from 90480, which identifies administration of the initial or only SARS-CoV-2 vaccine component. Report 90481 for each additional component administered after the initial component, so the unit count follows the number of additional components. This code is specific to SARS-CoV-2 vaccine components, while general immunization administration codes describe vaccine administration in broader terms. Each reported unit corresponds to one additional component.
Medicare assigns status X, a statutory exclusion because this is not a physician service under the Medicare statute. The physician fee schedule does not pay the code. When covered, it is paid under another fee schedule or payment system. The initial or only component is reported with 90480; 90481 identifies each additional component.
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 90481 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland, OR | Unavailable | Unavailable |
| Rest of Oregon | Unavailable | Unavailable |
How the 90481 rate is calculated
Each of 90481’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 · 90481
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense0.00
0.00 RVUs× 1.000 GPCI
Malpractice0.00
0.00 RVUs× 1.000 GPCI
Adjusted RVUs
0.0000
Conversion factor
$33.4009
Medicare rate
$0.00
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 90481
The CMS indicators that decide how 90481 is paid alongside other services.
CMS payment indicators · 90481
SARS-CoV-2 vaccine administration, each additional component
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 9 | The concept doesn’t apply. |
| Bilateral (modifier 50) | 9 | The concept doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 9 | The concept doesn’t apply. |
| Co-surgeons (62) | 9 | The concept doesn’t apply. |
| Team surgery (66) | 9 | The concept doesn’t apply. |
| Professional/technical | 9 | The concept doesn’t apply. |
90481 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 90480COVID-19 vaccine administrationInitial or only component
- 90480 identifies the initial or only SARS-CoV-2 vaccine component administration. 90481 identifies each additional component.
- 90472Vaccine administrationEach additional vaccine
- 90472 identifies an additional vaccine administration in the general immunization-administration family; 90481 identifies an additional component of a SARS-CoV-2 vaccine.
- 90461Vaccine administrationEach additional component
- 90461 identifies an additional vaccine component in the immunization-administration-with-counseling family. 90481 is specific to SARS-CoV-2 vaccine component administration.
90481 billing questions
Can 90481 be reported without 90480?
No. It identifies an additional SARS-CoV-2 vaccine component, while 90480 identifies the initial or only component.
How are units counted?
Report one unit for each additional SARS-CoV-2 vaccine component administered after the initial component.
How does 90481 differ from 90472?
90481 identifies an additional component of a SARS-CoV-2 vaccine. 90472 identifies an additional vaccine administration in the general immunization-administration family.
Does Medicare pay 90481 under the physician fee schedule?
No. Status X excludes it from the physician fee schedule. When covered, payment is under another fee schedule or payment system.
Is 90481 the vaccine product code?
No. It identifies administration of an additional vaccine component, not the vaccine product.
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
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