Billing code 90460: Vaccine administrationMedicare rate & RVUs in Florida
Reports vaccine or toxoid administration to a patient through age 18 when a physician or qualified health care professional provides immunization counseling.
Medicare pays $23.06–$25.02 for 90460 in the office in Florida, from Rest Of Florida to Miami. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 90460 covers
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.
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 90460 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$23.06 to $25.02
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | $24.12 | Unavailable |
| Miami | $25.02 | Unavailable |
| Rest Of Florida | $23.06 | Unavailable |
How the 90460 rate is calculated
Each of 90460’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 · 90460
RVUs × geographic indexes × conversion factor
Work0.23
0.23 RVUs× 1.000 GPCI
Practice expense0.45
0.45 RVUs× 1.000 GPCI
Malpractice0.02
0.02 RVUs× 1.000 GPCI
Adjusted RVUs
0.7000
Conversion factor
$33.4009
Medicare rate
$23.38
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 90460
90460 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 · 90460
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$23.38
Higher because the practice carries its own overhead.
90460 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 90461Vaccine administration
- 90460 represents the first or only component of each vaccine. Use 90461 for each additional component of that vaccine.
- 90471Immunization administration
- 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.
- 90472Vaccine administration
- 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.
- 90473Vaccine administration
- 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.
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 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
Show the CMS file lines behind this rate
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