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CMS RVU26D · Effective 2026-10-01

90460 in Delaware

Office / nonfacility

$23.17

Base rate per service

Facility setting

Not available in this setting

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Immunization administration

About 90460: Pediatric vaccine administration with counseling

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

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.

Where the value comes from

  • Work RVU0.23 · 33%
  • Practice expense (office) RVU0.45 · 64%
  • Malpractice RVU0.02 · 3%

135

Medicare services in 2024 · #4640 by national volume

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.

90460 compared with similar codes

Office rates for Delaware, from the same CMS release.

90461

Vaccine administration

Each additional component

$8.65

90460 represents the first or only component of each vaccine. Use 90461 for each additional component of that vaccine.

90471

Immunization administration

First injectable vaccine

$21.85

90471 is for first injectable immunization administration without the counseling requirement of 90460. 90460 requires physician or qualified health care professional counseling for a patient through age 18.

90472

Vaccine administration

Each additional vaccine

$15.90

90472 is used for additional injectable immunization administration in the administration-code pathway without 90460's counseling criteria. 90460 and 90461 count vaccine components when counseling is provided.

90473

Vaccine administration

First oral or intranasal vaccine

$17.23

90473 is for first oral or nasal immunization administration without 90460's counseling criteria. 90460 can apply to any route when its age and counseling requirements are met.

The same code, a different location

How does Delaware compare?

90460 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $23.17

  2. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $26.22

    $3.05 higher than Delaware

  3. Dc + Md/Va Suburbs

    $26.55

    $3.38 higher than Delaware

  4. Miami

    $25.02

    $1.85 higher than Delaware

  5. Chicago

    $24.37

    $1.20 higher than Delaware

  6. Manhattan

    $26.70

    $3.53 higher than Delaware

  7. Alaska*

    $27.90

    $4.73 higher than Delaware

Other payment areas listed in Delaware appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 90460 ranges from $20.94 in Arkansas to $30.56 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Alabama

    Alabama · 90460

    Office

    $21.21

    Facility

    Unavailable

    $1.96 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 90460

    Office

    $20.94

    Facility

    Unavailable

    $2.23 lower than Delaware for the office setting.

  • Arizona

    Arizona · 90460

    Office

    $22.82

    Facility

    Unavailable

    $0.35 lower than Delaware for the office setting.

  • Bakersfield

    California · 90460

    Office

    $24.71

    Facility

    Unavailable

    $1.54 higher than Delaware for the office setting.

  • Chico

    California · 90460

    Office

    $24.64

    Facility

    Unavailable

    $1.47 higher than Delaware for the office setting.

  • El Centro

    California · 90460

    Office

    $24.65

    Facility

    Unavailable

    $1.48 higher than Delaware for the office setting.

  • Fresno

    California · 90460

    Office

    $24.64

    Facility

    Unavailable

    $1.47 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · 90460

    Office

    $24.64

    Facility

    Unavailable

    $1.47 higher than Delaware for the office setting.

  • Madera

    California · 90460

    Office

    $24.64

    Facility

    Unavailable

    $1.47 higher than Delaware for the office setting.

  • Merced

    California · 90460

    Office

    $24.64

    Facility

    Unavailable

    $1.47 higher than Delaware for the office setting.

  • Modesto

    California · 90460

    Office

    $24.64

    Facility

    Unavailable

    $1.47 higher than Delaware for the office setting.

  • Napa

    California · 90460

    Office

    $28.32

    Facility

    Unavailable

    $5.15 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 90460

    Office

    $26.08

    Facility

    Unavailable

    $2.91 higher than Delaware for the office setting.

  • Redding

    California · 90460

    Office

    $24.64

    Facility

    Unavailable

    $1.47 higher than Delaware for the office setting.

  • Rest Of California

    California · 90460

    Office

    $24.64

    Facility

    Unavailable

    $1.47 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 90460

    Office

    $24.86

    Facility

    Unavailable

    $1.69 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 90460

    Office

    $25.80

    Facility

    Unavailable

    $2.63 higher than Delaware for the office setting.

  • Salinas

    California · 90460

    Office

    $25.70

    Facility

    Unavailable

    $2.53 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 90460

    Office

    $26.25

    Facility

    Unavailable

    $3.08 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 90460

    Office

    $29.91

    Facility

    Unavailable

    $6.74 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 90460

    Office

    $29.89

    Facility

    Unavailable

    $6.72 higher than Delaware for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 90460

    Office

    $30.56

    Facility

    Unavailable

    $7.39 higher than Delaware for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 90460

    Office

    $30.47

    Facility

    Unavailable

    $7.30 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 90460

    Office

    $25.29

    Facility

    Unavailable

    $2.12 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 90460

    Office

    $26.46

    Facility

    Unavailable

    $3.29 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 90460

    Office

    $25.78

    Facility

    Unavailable

    $2.61 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 90460

    Office

    $26.73

    Facility

    Unavailable

    $3.56 higher than Delaware for the office setting.

  • Stockton

    California · 90460

    Office

    $24.64

    Facility

    Unavailable

    $1.47 higher than Delaware for the office setting.

  • Vallejo

    California · 90460

    Office

    $28.28

    Facility

    Unavailable

    $5.11 higher than Delaware for the office setting.

  • Visalia

    California · 90460

    Office

    $24.64

    Facility

    Unavailable

    $1.47 higher than Delaware for the office setting.

  • Yuba City

    California · 90460

    Office

    $24.64

    Facility

    Unavailable

    $1.47 higher than Delaware for the office setting.

  • Colorado

    Colorado · 90460

    Office

    $24.29

    Facility

    Unavailable

    $1.12 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 90460

    Office

    $24.83

    Facility

    Unavailable

    $1.66 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 90460

    Office

    $24.12

    Facility

    Unavailable

    $0.95 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 90460

    Office

    $23.06

    Facility

    Unavailable

    $0.11 lower than Delaware for the office setting.

  • Atlanta

    Georgia · 90460

    Office

    $23.78

    Facility

    Unavailable

    $0.61 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 90460

    Office

    $21.89

    Facility

    Unavailable

    $1.28 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 90460

    Office

    $25.16

    Facility

    Unavailable

    $1.99 higher than Delaware for the office setting.

  • Iowa

    Iowa · 90460

    Office

    $21.70

    Facility

    Unavailable

    $1.47 lower than Delaware for the office setting.

  • Idaho

    Idaho · 90460

    Office

    $21.83

    Facility

    Unavailable

    $1.34 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 90460

    Office

    $22.86

    Facility

    Unavailable

    $0.31 lower than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 90460

    Office

    $22.45

    Facility

    Unavailable

    $0.72 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 90460

    Office

    $24.36

    Facility

    Unavailable

    $1.19 higher than Delaware for the office setting.

  • Indiana

    Indiana · 90460

    Office

    $21.94

    Facility

    Unavailable

    $1.23 lower than Delaware for the office setting.

  • Kansas

    Kansas · 90460

    Office

    $21.61

    Facility

    Unavailable

    $1.56 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 90460

    Office

    $21.66

    Facility

    Unavailable

    $1.51 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 90460

    Office

    $22.58

    Facility

    Unavailable

    $0.59 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 90460

    Office

    $21.62

    Facility

    Unavailable

    $1.55 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 90460

    Office

    $26.54

    Facility

    Unavailable

    $3.37 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 90460

    Office

    $24.16

    Facility

    Unavailable

    $0.99 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 90460

    Office

    $24.76

    Facility

    Unavailable

    $1.59 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 90460

    Office

    $23.58

    Facility

    Unavailable

    $0.41 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 90460

    Office

    $21.93

    Facility

    Unavailable

    $1.24 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 90460

    Office

    $23.00

    Facility

    Unavailable

    $0.17 lower than Delaware for the office setting.

  • Detroit

    Michigan · 90460

    Office

    $23.31

    Facility

    Unavailable

    $0.14 higher than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 90460

    Office

    $22.16

    Facility

    Unavailable

    $1.01 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · 90460

    Office

    $23.35

    Facility

    Unavailable

    $0.18 higher than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 90460

    Office

    $22.45

    Facility

    Unavailable

    $0.72 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 90460

    Office

    $22.66

    Facility

    Unavailable

    $0.51 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 90460

    Office

    $21.29

    Facility

    Unavailable

    $1.88 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 90460

    Office

    $21.12

    Facility

    Unavailable

    $2.05 lower than Delaware for the office setting.

  • Montana**

    Montana · 90460

    Office

    $23.38

    Facility

    Unavailable

    $0.21 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · 90460

    Office

    $22.13

    Facility

    Unavailable

    $1.04 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 90460

    Office

    $22.98

    Facility

    Unavailable

    $0.19 lower than Delaware for the office setting.

  • Nebraska

    Nebraska · 90460

    Office

    $21.81

    Facility

    Unavailable

    $1.36 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 90460

    Office

    $23.91

    Facility

    Unavailable

    $0.74 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 90460

    Office

    $26.31

    Facility

    Unavailable

    $3.14 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 90460

    Office

    $25.14

    Facility

    Unavailable

    $1.97 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 90460

    Office

    $22.27

    Facility

    Unavailable

    $0.90 lower than Delaware for the office setting.

  • Nevada**

    Nevada · 90460

    Office

    $23.28

    Facility

    Unavailable

    $0.11 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 90460

    Office

    $27.29

    Facility

    Unavailable

    $4.12 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 90460

    Office

    $25.29

    Facility

    Unavailable

    $2.12 higher than Delaware for the office setting.

  • Queens

    New York · 90460

    Office

    $26.90

    Facility

    Unavailable

    $3.73 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 90460

    Office

    $22.43

    Facility

    Unavailable

    $0.74 lower than Delaware for the office setting.

  • Ohio

    Ohio · 90460

    Office

    $22.08

    Facility

    Unavailable

    $1.09 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 90460

    Office

    $21.62

    Facility

    Unavailable

    $1.55 lower than Delaware for the office setting.

  • Portland

    Oregon · 90460

    Office

    $25.00

    Facility

    Unavailable

    $1.83 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 90460

    Office

    $23.12

    Facility

    Unavailable

    $0.05 lower than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 90460

    Office

    $24.26

    Facility

    Unavailable

    $1.09 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 90460

    Office

    $22.11

    Facility

    Unavailable

    $1.06 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 90460

    Office

    $23.54

    Facility

    Unavailable

    $0.37 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 90460

    Office

    $23.95

    Facility

    Unavailable

    $0.78 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 90460

    Office

    $22.14

    Facility

    Unavailable

    $1.03 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 90460

    Office

    $22.94

    Facility

    Unavailable

    $0.23 lower than Delaware for the office setting.

  • Tennessee

    Tennessee · 90460

    Office

    $21.70

    Facility

    Unavailable

    $1.47 lower than Delaware for the office setting.

  • Austin

    Texas · 90460

    Office

    $24.19

    Facility

    Unavailable

    $1.02 higher than Delaware for the office setting.

  • Beaumont

    Texas · 90460

    Office

    $21.98

    Facility

    Unavailable

    $1.19 lower than Delaware for the office setting.

  • Brazoria

    Texas · 90460

    Office

    $23.16

    Facility

    Unavailable

    $0.01 lower than Delaware for the office setting.

  • Dallas

    Texas · 90460

    Office

    $23.29

    Facility

    Unavailable

    $0.12 higher than Delaware for the office setting.

  • Fort Worth

    Texas · 90460

    Office

    $23.15

    Facility

    Unavailable

    $0.02 lower than Delaware for the office setting.

  • Galveston

    Texas · 90460

    Office

    $23.22

    Facility

    Unavailable

    $0.05 higher than Delaware for the office setting.

  • Houston

    Texas · 90460

    Office

    $23.59

    Facility

    Unavailable

    $0.42 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 90460

    Office

    $22.55

    Facility

    Unavailable

    $0.62 lower than Delaware for the office setting.

  • Utah

    Utah · 90460

    Office

    $22.41

    Facility

    Unavailable

    $0.76 lower than Delaware for the office setting.

  • Virginia

    Virginia · 90460

    Office

    $22.93

    Facility

    Unavailable

    $0.24 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 90460

    Office

    $23.54

    Facility

    Unavailable

    $0.37 higher than Delaware for the office setting.

  • Vermont

    Vermont · 90460

    Office

    $22.90

    Facility

    Unavailable

    $0.27 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · 90460

    Office

    $24.12

    Facility

    Unavailable

    $0.95 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 90460

    Office

    $27.05

    Facility

    Unavailable

    $3.88 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 90460

    Office

    $22.29

    Facility

    Unavailable

    $0.88 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 90460

    Office

    $21.70

    Facility

    Unavailable

    $1.47 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · 90460

    Office

    $23.21

    Facility

    Unavailable

    $0.04 higher than Delaware for the office setting.

See how rates vary across the country

90460 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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 all state and territory rates as a table
State / territoryRate 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

Explore 90460 on the national rate map →

Where does this rate apply?

Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Delaware →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 90460 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$25.49

$23.17 × 110% = $25.49

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

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How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 90460 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

11,412

Code
90460
Physician work
0.23
Practice expense
0.45
Malpractice
0.02

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 90460 in Delaware
ComponentRVULocality factorAdjusted
Physician work0.23× 1.0050.2311
Practice expense0.45× 0.9880.4446
Malpractice0.02× 0.8990.0180
Total RVUs0.6937
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$23.17

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 90460 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.231.005
Practice expense0.450.988
Malpractice0.020.899

(0.23 × 1.005 + 0.45 × 0.988 + 0.02 × 0.899) × $33.4009 = $23.17

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

90460 · Office / nonfacility

$23.17

Effective 2026-10-01

The base rate is $0.93 higher than on 2025-10-01, moving from $22.24 to $23.17 (4.2%).

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

    $22.24changed to$23.17

    • 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
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $22.24

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$23.17Not available in this settingRVU26D
2026-07-01$23.17Not available in this settingRVU26C
2026-04-01$23.17Not available in this settingRVU26B
2026-01-01$23.17Not available in this settingRVU26A
2025-10-01$22.24Not available in this settingRVU25D
2025-07-01$22.24Not available in this settingRVU25C
2025-04-01$22.24Not available in this settingRVU25B
2025-01-01$22.24Not available in this settingRVU25A

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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 90460PPRRVU2026_Oct_nonQPP.csv, line 11,412 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet