$12.33
90473 is for the first oral or intranasal vaccine in the applicable sequence; 90474 reports each additional vaccine by either of those routes.
On this page
CMS RVU26D · Effective 2026-10-01
90473 Vaccine administration Medicare reimbursement rates in Minnesota
Reports administration of the first vaccine given orally or intranasally, such as an oral rotavirus vaccine or intranasal influenza vaccine. Compare 90473 office and facility rates across CMS payment localities in Minnesota.
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 90473 in Minnesota?
Minnesota 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
$17.46
1 of 1 localities have a supported rate.
Payment area: Minnesota
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.
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 Minnesota, from the same CMS release.
$22.27
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.
$23.35
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.
Compare 90473 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
Minnesota →
Office / nonfacility
$17.46
Facility
Unavailable
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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 Minnesota.
PPRRVU2026_Oct_nonQPP.csv
11,416
- Code
- 90473
- Physician work
- 0.17
- Practice expense
- 0.34
- Malpractice
- 0.01
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.17 | × 1.000 | 0.1700 |
| Practice expense | 0.34 | × 1.029 | 0.3499 |
| Malpractice | 0.01 | × 0.296 | 0.0030 |
| Total RVUs | 0.5228 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Minnesota$17.46
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.17 | 1 |
| Practice expense | 0.34 | 1.029 |
| Malpractice | 0.01 | 0.296 |
(0.17 × 1 + 0.34 × 1.029 + 0.01 × 0.296) × $33.4009 = $17.46
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.
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.
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
11,41890476,,Adenovirus vaccine type 4,E,,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
11,41990477,,Adenovirus vaccine type 7,E,,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
6314212,MA,99,REST OF MASSACHUSETTS,1.016,1.053,0.797
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002