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CMS RVU26D · Effective 2026-10-01

90460 Vaccine administration Medicare reimbursement rates in Colorado

Reports vaccine or toxoid administration to a patient through age 18 when a physician or qualified health care professional provides immunization counseling. Compare 90460 office and facility rates across CMS payment localities in Colorado.

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.

What does Medicare pay for 90460 in Colorado?

Colorado has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.

Office / nonfacility

$24.29

1 of 1 localities have a supported rate.

Payment area: Colorado

One mapped payment locality.

Facility setting

No supported rate

These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.

Find 90460 in your payment locality →

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 Colorado, from the same CMS release.

90461

Vaccine administration

Each additional component

$8.83

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

$23.07

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

$16.70

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

$18.09

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.

Compare 90460 by payment locality

Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.

1 of 1 payment localities

Office and facility base rates · shared scale starting at $0

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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 Colorado.

PPRRVU2026_Oct_nonQPP.csv

11,412

Code
90460
Physician work
0.23
Practice expense
0.45
Malpractice
0.02

GPCI2026.csv

37

Locality
Colorado
Physician work
1.012
Practice expense
1.064
Malpractice
0.781
Office / nonfacility calculation for 90460 in Colorado
ComponentRVULocality factorAdjusted
Physician work0.23× 1.0120.2328
Practice expense0.45× 1.0640.4788
Malpractice0.02× 0.7810.0156
Total RVUs0.7272
Conversion factor× 33.4009

Office / nonfacility rate, Colorado$24.29

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.231.012
Practice expense0.451.064
Malpractice0.020.781

(0.23 × 1.012 + 0.45 × 1.064 + 0.02 × 0.781) × $33.4009 = $24.29

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.

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 ColoradoGPCI2026.csv, line 37 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet