$24.16–$26.54
90460 applies when a physician or other qualified health care professional counsels a patient 18 or younger about the vaccine. 90471 reports injectable administration without that counseling-based criterion.
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CMS RVU26D · Effective 2026-10-01
90471 Immunization administration Medicare reimbursement rates in Massachusetts
Report 90471 for administration of one injectable vaccine, including a combination vaccine or toxoid, when the service meets the code’s route criteria. Compare 90471 office and facility rates across CMS payment localities in Massachusetts.
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 90471 in Massachusetts?
Massachusetts has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$22.92–$25.35
2 of 2 localities have a supported rate.
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.
Immunization administration
About 90471: Single vaccine injection administration
Report 90471 for administration of one injectable vaccine, including a combination vaccine or toxoid, when the service meets the code’s route criteria.
90471 represents administration of one vaccine by percutaneous, intradermal, subcutaneous, or intramuscular route. It applies to an injectable vaccine product whether the product contains one antigen or is a combination vaccine or toxoid; report the vaccine product separately. Physicians and clinical staff commonly provide this service in physician offices and outpatient settings.
Report one unit for one vaccine administration. When additional injectable vaccines are administered in the same encounter, report 90472 for each additional administration. Select the administration code by route and applicable counseling criteria, not just by the vaccine’s name. Documentation should identify the vaccine, route, date, and administering clinician. Under the CMS incident-to rule, the service may be billed only when performed under physician supervision.
CMS billing rules for 90471
- Professional and technical components
- Incident-to service: billed only when performed under physician supervision.
Where the value comes from
- Work RVU0.17 · 26%
- Practice expense (office) RVU0.48 · 73%
- Malpractice RVU0.01 · 2%
283.6K
Medicare services in 2024 · #326 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.
90471 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
$16.61–$18.27
90471 reports one injectable vaccine administration; 90472 reports each additional injectable vaccine administration in the same encounter.
$17.99–$19.77
90473 is for oral or intranasal vaccine administration. Use 90471 for the specified percutaneous or injected routes.
90480
No office rateAdmn sarscov2 vac 1/only cmp
90480 is the administration code specific to a SARS-CoV-2 vaccine; 90471 describes administration of other injectable vaccines.
Compare 90471 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.
2 of 2 payment localities
Metropolitan Boston →
Office / nonfacility
$25.35
Facility
Unavailable
Rest Of Massachusetts →
Office / nonfacility
$22.92
Facility
Unavailable
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90471 billing questions
When should 90471 be reported instead of 90460?
Use 90471 for an injectable vaccine when the criteria for the counseling-based code are not met. Code 90460 applies to patients 18 or younger when a physician or other qualified health care professional provides counseling about the vaccine.
Is the vaccine product included in 90471?
No. 90471 reports the administration service; report the vaccine product separately.
Can 90471 and 90472 be reported together?
Yes. Report 90471 for one injectable vaccine administration and 90472 for each additional injectable vaccine administered in the same encounter.
Does 90471 cover oral or intranasal vaccines?
No. For an oral or intranasal vaccine administration, use 90473 for one vaccine; 90474 is the add-on code for each additional oral or intranasal vaccine.
Can clinical staff perform the service?
Yes, but under the CMS incident-to rule, 90471 may be billed only when the service is performed under physician supervision.
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.
11,41190399,,Unlisted immune globulin,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
11,41290460,,Im admin 1st/only component,A,,0.23,0.45,,0.45,NA,0.02,0.70,0.70,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,41390461,,Im admin each addl component,A,,0.18,0.07,,0.07,NA,0.01,0.26,0.26,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,41490471,,Immunization admin,A,,0.17,0.48,,0.48,NA,0.01,0.66,0.66,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,41590472,,Immunization admin each add,A,,0.15,0.32,,0.32,NA,0.01,0.48,0.48,5,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,41690473,,Immune admin oral/nasal,A,,0.17,0.34,,0.34,NA,0.01,0.52,0.52,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,41790474,,Immune admin oral/nasal addl,A,,0.15,0.21,,0.21,NA,0.01,0.37,0.37,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00