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CMS RVU26D · Effective 2026-10-01

90473 in El Centro

Office / nonfacility

$18.40

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 90473: Oral or intranasal vaccine administration

Reports administration of the first vaccine given orally or intranasally, such as an oral rotavirus vaccine or intranasal influenza vaccine.

90473 reports the administration service for the first vaccine delivered by mouth or into the nose during the encounter. Examples include an oral rotavirus vaccine or an intranasal influenza vaccine. The vaccine product is coded separately. Nursing staff commonly administer these vaccines in a physician office or clinic, with the service reported by the practice responsible for the administration.

Select this code by route and order: it is for the first oral or intranasal vaccine, not an injectable vaccine or a count of vaccine components. Use 90474 for each additional oral or intranasal vaccine given at the same encounter. Documentation should identify the vaccine administered, its route, and the administration performed. CMS assigns physician work, practice-expense, and malpractice values to this service in the physician fee schedule; the vaccine product is a separate item from the administration service.

Where the value comes from

  • Work RVU0.17 · 33%
  • Practice expense (office) RVU0.34 · 65%
  • Malpractice RVU0.01 · 2%

13

Medicare services in 2024 · #6138 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.

90473 compared with similar codes

Office rates for El Centro, from the same CMS release.

90474

Vaccine administration

Additional oral or nasal vaccine

$12.96

90473 is for the first oral or intranasal vaccine in the applicable sequence; 90474 reports each additional vaccine by either of those routes.

90471

Immunization administration

First injectable vaccine

$23.53

90471 is for the first vaccine administered by a route other than oral or intranasal. Choose 90473 when the first vaccine is given by mouth or nose.

90460

Vaccine administration

First or only vaccine component

$24.65

90460 applies to vaccine administration for patients through age 18 when the required face-to-face physician or qualified health care professional counseling is provided; 90473 is the route-specific administration code without that counseling distinction.

The same code, a different location

How does El Centro compare?

In Bakersfield, the office rate for 90473 is $18.44—$0.04 higher than the $18.40 rate in El Centro. Both use the same code, release and participation basis.

90473 across payment areas

Same release and payment basis · bars start at $0

  1. El Centro · This locality

    $18.40

  2. Bakersfield

    $18.44

    $0.04 higher than El Centro

  3. Chico

    $18.40

    The same base rate than El Centro

  4. Fresno

    $18.40

    The same base rate than El Centro

  5. Hanford-Corcoran

    $18.40

    The same base rate than El Centro

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

    $19.57

    $1.17 higher than El Centro

  7. Madera

    $18.40

    The same base rate than El Centro

Other payment areas listed in California 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, 90473 ranges from $15.61 in Arkansas to $22.86 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

  • Merced

    California · 90473

    Office

    $18.40

    Facility

    Unavailable

    The same base rate than El Centro for the office setting.

  • Modesto

    California · 90473

    Office

    $18.40

    Facility

    Unavailable

    The same base rate than El Centro for the office setting.

  • Napa

    California · 90473

    Office

    $21.17

    Facility

    Unavailable

    $2.77 higher than El Centro for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 90473

    Office

    $19.47

    Facility

    Unavailable

    $1.07 higher than El Centro for the office setting.

  • Redding

    California · 90473

    Office

    $18.40

    Facility

    Unavailable

    The same base rate than El Centro for the office setting.

  • Rest Of California

    California · 90473

    Office

    $18.40

    Facility

    Unavailable

    The same base rate than El Centro for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 90473

    Office

    $18.51

    Facility

    Unavailable

    $0.11 higher than El Centro for the office setting.

  • Sacramento-Roseville-Folsom

    California · 90473

    Office

    $19.27

    Facility

    Unavailable

    $0.87 higher than El Centro for the office setting.

  • Salinas

    California · 90473

    Office

    $19.20

    Facility

    Unavailable

    $0.80 higher than El Centro for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 90473

    Office

    $19.61

    Facility

    Unavailable

    $1.21 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 90473

    Office

    $22.38

    Facility

    Unavailable

    $3.98 higher than El Centro for the office setting.

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

    California · 90473

    Office

    $22.37

    Facility

    Unavailable

    $3.97 higher than El Centro for the office setting.

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

    California · 90473

    Office

    $22.86

    Facility

    Unavailable

    $4.46 higher than El Centro for the office setting.

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

    California · 90473

    Office

    $22.81

    Facility

    Unavailable

    $4.41 higher than El Centro for the office setting.

  • San Luis Obispo-Paso Robles

    California · 90473

    Office

    $18.89

    Facility

    Unavailable

    $0.49 higher than El Centro for the office setting.

  • Santa Cruz-Watsonville

    California · 90473

    Office

    $19.77

    Facility

    Unavailable

    $1.37 higher than El Centro for the office setting.

  • Santa Maria-Santa Barbara

    California · 90473

    Office

    $19.26

    Facility

    Unavailable

    $0.86 higher than El Centro for the office setting.

  • Santa Rosa-Petaluma

    California · 90473

    Office

    $19.97

    Facility

    Unavailable

    $1.57 higher than El Centro for the office setting.

  • Stockton

    California · 90473

    Office

    $18.40

    Facility

    Unavailable

    The same base rate than El Centro for the office setting.

  • Vallejo

    California · 90473

    Office

    $21.16

    Facility

    Unavailable

    $2.76 higher than El Centro for the office setting.

  • Visalia

    California · 90473

    Office

    $18.40

    Facility

    Unavailable

    The same base rate than El Centro for the office setting.

  • Yuba City

    California · 90473

    Office

    $18.40

    Facility

    Unavailable

    The same base rate than El Centro for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 90473

    Office

    $19.73

    Facility

    Unavailable

    $1.33 higher than El Centro for the office setting.

  • Miami

    Florida · 90473

    Office

    $18.34

    Facility

    Unavailable

    $0.06 lower than El Centro for the office setting.

  • Chicago

    Illinois · 90473

    Office

    $17.90

    Facility

    Unavailable

    $0.50 lower than El Centro for the office setting.

  • Manhattan

    New York · 90473

    Office

    $19.77

    Facility

    Unavailable

    $1.37 higher than El Centro for the office setting.

  • Alaska*

    Alaska · 90473

    Office

    $20.80

    Facility

    Unavailable

    $2.40 higher than El Centro for the office setting.

  • Alabama

    Alabama · 90473

    Office

    $15.80

    Facility

    Unavailable

    $2.60 lower than El Centro for the office setting.

  • Arkansas

    Arkansas · 90473

    Office

    $15.61

    Facility

    Unavailable

    $2.79 lower than El Centro for the office setting.

  • Arizona

    Arizona · 90473

    Office

    $16.97

    Facility

    Unavailable

    $1.43 lower than El Centro for the office setting.

  • Colorado

    Colorado · 90473

    Office

    $18.09

    Facility

    Unavailable

    $0.31 lower than El Centro for the office setting.

  • Connecticut

    Connecticut · 90473

    Office

    $18.43

    Facility

    Unavailable

    $0.03 higher than El Centro for the office setting.

  • Delaware

    Delaware · 90473

    Office

    $17.23

    Facility

    Unavailable

    $1.17 lower than El Centro for the office setting.

  • Fort Lauderdale

    Florida · 90473

    Office

    $17.79

    Facility

    Unavailable

    $0.61 lower than El Centro for the office setting.

  • Rest Of Florida

    Florida · 90473

    Office

    $17.04

    Facility

    Unavailable

    $1.36 lower than El Centro for the office setting.

  • Atlanta

    Georgia · 90473

    Office

    $17.63

    Facility

    Unavailable

    $0.77 lower than El Centro for the office setting.

  • Rest Of Georgia

    Georgia · 90473

    Office

    $16.21

    Facility

    Unavailable

    $2.19 lower than El Centro for the office setting.

  • Hawaii, Guam

    Hawaii · 90473

    Office

    $18.78

    Facility

    Unavailable

    $0.38 higher than El Centro for the office setting.

  • Iowa

    Iowa · 90473

    Office

    $16.20

    Facility

    Unavailable

    $2.20 lower than El Centro for the office setting.

  • Idaho

    Idaho · 90473

    Office

    $16.28

    Facility

    Unavailable

    $2.12 lower than El Centro for the office setting.

  • East St. Louis

    Illinois · 90473

    Office

    $16.80

    Facility

    Unavailable

    $1.60 lower than El Centro for the office setting.

  • Rest Of Illinois

    Illinois · 90473

    Office

    $16.57

    Facility

    Unavailable

    $1.83 lower than El Centro for the office setting.

  • Suburban Chicago

    Illinois · 90473

    Office

    $17.97

    Facility

    Unavailable

    $0.43 lower than El Centro for the office setting.

  • Indiana

    Indiana · 90473

    Office

    $16.37

    Facility

    Unavailable

    $2.03 lower than El Centro for the office setting.

  • Kansas

    Kansas · 90473

    Office

    $16.11

    Facility

    Unavailable

    $2.29 lower than El Centro for the office setting.

  • Kentucky

    Kentucky · 90473

    Office

    $16.08

    Facility

    Unavailable

    $2.32 lower than El Centro for the office setting.

  • New Orleans

    Louisiana · 90473

    Office

    $16.74

    Facility

    Unavailable

    $1.66 lower than El Centro for the office setting.

  • Rest Of Louisiana

    Louisiana · 90473

    Office

    $16.05

    Facility

    Unavailable

    $2.35 lower than El Centro for the office setting.

  • Metropolitan Boston

    Massachusetts · 90473

    Office

    $19.77

    Facility

    Unavailable

    $1.37 higher than El Centro for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 90473

    Office

    $17.99

    Facility

    Unavailable

    $0.41 lower than El Centro for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 90473

    Office

    $18.37

    Facility

    Unavailable

    $0.03 lower than El Centro for the office setting.

  • Rest Of Maryland

    Maryland · 90473

    Office

    $17.53

    Facility

    Unavailable

    $0.87 lower than El Centro for the office setting.

  • Rest Of Maine

    Maine · 90473

    Office

    $16.33

    Facility

    Unavailable

    $2.07 lower than El Centro for the office setting.

  • Southern Maine

    Maine · 90473

    Office

    $17.14

    Facility

    Unavailable

    $1.26 lower than El Centro for the office setting.

  • Detroit

    Michigan · 90473

    Office

    $17.20

    Facility

    Unavailable

    $1.20 lower than El Centro for the office setting.

  • Rest Of Michigan

    Michigan · 90473

    Office

    $16.42

    Facility

    Unavailable

    $1.98 lower than El Centro for the office setting.

  • Minnesota

    Minnesota · 90473

    Office

    $17.46

    Facility

    Unavailable

    $0.94 lower than El Centro for the office setting.

  • Metropolitan Kansas City

    Missouri · 90473

    Office

    $16.67

    Facility

    Unavailable

    $1.73 lower than El Centro for the office setting.

  • Metropolitan St. Louis

    Missouri · 90473

    Office

    $16.82

    Facility

    Unavailable

    $1.58 lower than El Centro for the office setting.

  • Rest Of Missouri

    Missouri · 90473

    Office

    $15.79

    Facility

    Unavailable

    $2.61 lower than El Centro for the office setting.

  • Mississippi

    Mississippi · 90473

    Office

    $15.70

    Facility

    Unavailable

    $2.70 lower than El Centro for the office setting.

  • Montana**

    Montana · 90473

    Office

    $17.37

    Facility

    Unavailable

    $1.03 lower than El Centro for the office setting.

  • North Carolina

    North Carolina · 90473

    Office

    $16.49

    Facility

    Unavailable

    $1.91 lower than El Centro for the office setting.

  • North Dakota**

    North Dakota · 90473

    Office

    $17.17

    Facility

    Unavailable

    $1.23 lower than El Centro for the office setting.

  • Nebraska

    Nebraska · 90473

    Office

    $16.29

    Facility

    Unavailable

    $2.11 lower than El Centro for the office setting.

  • New Hampshire

    New Hampshire · 90473

    Office

    $17.79

    Facility

    Unavailable

    $0.61 lower than El Centro for the office setting.

  • Northern Nj

    New Jersey · 90473

    Office

    $19.57

    Facility

    Unavailable

    $1.17 higher than El Centro for the office setting.

  • Rest Of New Jersey

    New Jersey · 90473

    Office

    $18.67

    Facility

    Unavailable

    $0.27 higher than El Centro for the office setting.

  • New Mexico

    New Mexico · 90473

    Office

    $16.49

    Facility

    Unavailable

    $1.91 lower than El Centro for the office setting.

  • Nevada**

    Nevada · 90473

    Office

    $17.32

    Facility

    Unavailable

    $1.08 lower than El Centro for the office setting.

  • Nyc Suburbs/Long Island

    New York · 90473

    Office

    $20.16

    Facility

    Unavailable

    $1.76 higher than El Centro for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 90473

    Office

    $18.77

    Facility

    Unavailable

    $0.37 higher than El Centro for the office setting.

  • Queens

    New York · 90473

    Office

    $19.95

    Facility

    Unavailable

    $1.55 higher than El Centro for the office setting.

  • Rest Of New York

    New York · 90473

    Office

    $16.70

    Facility

    Unavailable

    $1.70 lower than El Centro for the office setting.

  • Ohio

    Ohio · 90473

    Office

    $16.38

    Facility

    Unavailable

    $2.02 lower than El Centro for the office setting.

  • Oklahoma

    Oklahoma · 90473

    Office

    $16.08

    Facility

    Unavailable

    $2.32 lower than El Centro for the office setting.

  • Portland

    Oregon · 90473

    Office

    $18.63

    Facility

    Unavailable

    $0.23 higher than El Centro for the office setting.

  • Rest Of Oregon

    Oregon · 90473

    Office

    $17.22

    Facility

    Unavailable

    $1.18 lower than El Centro for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 90473

    Office

    $18.00

    Facility

    Unavailable

    $0.40 lower than El Centro for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 90473

    Office

    $16.42

    Facility

    Unavailable

    $1.98 lower than El Centro for the office setting.

  • Puerto Rico

    Puerto Rico · 90473

    Office

    $17.49

    Facility

    Unavailable

    $0.91 lower than El Centro for the office setting.

  • Rhode Island

    Rhode Island · 90473

    Office

    $17.82

    Facility

    Unavailable

    $0.58 lower than El Centro for the office setting.

  • South Carolina

    South Carolina · 90473

    Office

    $16.46

    Facility

    Unavailable

    $1.94 lower than El Centro for the office setting.

  • South Dakota**

    South Dakota · 90473

    Office

    $17.15

    Facility

    Unavailable

    $1.25 lower than El Centro for the office setting.

  • Tennessee

    Tennessee · 90473

    Office

    $16.18

    Facility

    Unavailable

    $2.22 lower than El Centro for the office setting.

  • Austin

    Texas · 90473

    Office

    $18.00

    Facility

    Unavailable

    $0.40 lower than El Centro for the office setting.

  • Beaumont

    Texas · 90473

    Office

    $16.32

    Facility

    Unavailable

    $2.08 lower than El Centro for the office setting.

  • Brazoria

    Texas · 90473

    Office

    $17.24

    Facility

    Unavailable

    $1.16 lower than El Centro for the office setting.

  • Dallas

    Texas · 90473

    Office

    $17.33

    Facility

    Unavailable

    $1.07 lower than El Centro for the office setting.

  • Fort Worth

    Texas · 90473

    Office

    $17.22

    Facility

    Unavailable

    $1.18 lower than El Centro for the office setting.

  • Galveston

    Texas · 90473

    Office

    $17.28

    Facility

    Unavailable

    $1.12 lower than El Centro for the office setting.

  • Houston

    Texas · 90473

    Office

    $17.46

    Facility

    Unavailable

    $0.94 lower than El Centro for the office setting.

  • Rest Of Texas

    Texas · 90473

    Office

    $16.76

    Facility

    Unavailable

    $1.64 lower than El Centro for the office setting.

  • Utah

    Utah · 90473

    Office

    $16.65

    Facility

    Unavailable

    $1.75 lower than El Centro for the office setting.

  • Virginia

    Virginia · 90473

    Office

    $17.08

    Facility

    Unavailable

    $1.32 lower than El Centro for the office setting.

  • Virgin Islands

    United States Virgin Islands · 90473

    Office

    $17.49

    Facility

    Unavailable

    $0.91 lower than El Centro for the office setting.

  • Vermont

    Vermont · 90473

    Office

    $17.09

    Facility

    Unavailable

    $1.31 lower than El Centro for the office setting.

  • Rest Of Washington

    Washington · 90473

    Office

    $17.96

    Facility

    Unavailable

    $0.44 lower than El Centro for the office setting.

  • Seattle (King Cnty)

    Washington · 90473

    Office

    $20.17

    Facility

    Unavailable

    $1.77 higher than El Centro for the office setting.

  • Wisconsin

    Wisconsin · 90473

    Office

    $16.66

    Facility

    Unavailable

    $1.74 lower than El Centro for the office setting.

  • West Virginia

    West Virginia · 90473

    Office

    $16.02

    Facility

    Unavailable

    $2.38 lower than El Centro for the office setting.

  • Wyoming**

    Wyoming · 90473

    Office

    $17.28

    Facility

    Unavailable

    $1.12 lower than El Centro for the office setting.

See how rates vary across the country

90473 · 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.

$15.61

$20.80

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$20.801
AL$15.801
AR$15.611
AZ$16.971
CA$18.40–$22.8629
CO$18.091
CT$18.431
DC$19.731
DE$17.231
FL$17.04–$18.343
GA$16.21–$17.632
GU$18.781
HI$18.781
IA$16.201
ID$16.281
IL$16.57–$17.974
IN$16.371
KS$16.111
KY$16.081
LA$16.05–$16.742
MA$17.99–$19.772
MD$17.53–$19.733
ME$16.33–$17.142
MI$16.42–$17.202
MN$17.461
MO$15.79–$16.823
MS$15.701
MT$17.371
NC$16.491
ND$17.171
NE$16.291
NH$17.791
NJ$18.67–$19.572
NM$16.491
NV$17.321
NY$16.70–$20.165
OH$16.381
OK$16.081
OR$17.22–$18.632
PA$16.42–$18.002
PR$17.491
RI$17.821
SC$16.461
SD$17.151
TN$16.181
TX$16.32–$18.008
UT$16.651
VA$17.08–$19.732
VI$17.491
VT$17.091
WA$17.96–$20.172
WI$16.661
WV$16.021
WY$17.281

Explore 90473 on the national rate map →

Where does this rate apply?

El Centro is a Medicare payment area. Our Census mapping connects it to 18 cities and communities in California, 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 California →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 90473 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$20.24

$18.40 × 110% = $20.24

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 90473 in El Centro.

PPRRVU2026_Oct_nonQPP.csv

11,416

Code
90473
Physician work
0.17
Practice expense
0.34
Malpractice
0.01

GPCI2026.csv

10

Locality
El Centro
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office / nonfacility calculation for 90473 in El Centro
ComponentRVULocality factorAdjusted
Physician work0.17× 1.0170.1729
Practice expense0.34× 1.0960.3726
Malpractice0.01× 0.5410.0054
Total RVUs0.5509
Conversion factor× 33.4009

Office / nonfacility rate, El Centro$18.40

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

Open 90473 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.171.017
Practice expense0.341.096
Malpractice0.010.541

(0.17 × 1.017 + 0.34 × 1.096 + 0.01 × 0.541) × $33.4009 = $18.40

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

90473 · Office / nonfacility

$18.40

Effective 2026-10-01

The base rate is $1.33 higher than on 2025-10-01, moving from $17.07 to $18.40 (7.8%).

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

    $17.07changed to$18.40

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.32 changed to 0.34
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.570 changed to 0.541

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $17.07

    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$18.40Not available in this settingRVU26D
2026-07-01$18.40Not available in this settingRVU26C
2026-04-01$18.40Not available in this settingRVU26B
2026-01-01$18.40Not available in this settingRVU26A
2025-10-01$17.07Not available in this settingRVU25D
2025-07-01$17.07Not available in this settingRVU25C
2025-04-01$17.07Not available in this settingRVU25B
2025-01-01$17.07Not available in this settingRVU25A

90473 billing questions

When should 90473 be used instead of 90471?

Use 90473 for the first vaccine administered orally or intranasally. Code 90471 describes administration of a vaccine by a route other than oral or intranasal, such as an injection.

How is a second oral or intranasal vaccine reported?

Report 90474 for each additional oral or intranasal vaccine administered during the encounter. It is an add-on to the applicable first-vaccine administration code.

Is the vaccine product included in 90473?

No. 90473 represents the administration service; report the vaccine product separately when applicable.

Does a combination vaccine count as multiple vaccines for this code?

No. A combination vaccine is counted as one vaccine for administration coding, rather than as multiple components.

What should the record show to support 90473?

Document the vaccine administered, that it was given by the oral or intranasal route, and that it was the first vaccine reported under the applicable administration sequence.

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 90473PPRRVU2026_Oct_nonQPP.csv, line 11,416 (RVU26D)
Geographic factors for El CentroGPCI2026.csv, line 10 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet