When should I use 90471?

First vaccine administered at the visit. Add 90472 for each additional vaccine.

What documentation does 90471 require?

- Vaccine name, dose, route, site. - Lot number, expiration, manufacturer. - VIS date given to patient. - Counseling documented (CPT 90460/90461 if pediatric counseling).

What are common 90471 billing pitfalls?

- Vaccine product code (e.g. 90686 for flu) is billed separately. - For Medicare Part D vaccines (Shingrix, Tdap), use roster billing or HCPCS administration codes per payer.

How much does 90471 pay in 2026?

2026 work RVU for 90471 is 0.17. National Medicare non-facility allowable is approximately $22.04 at the 2026 conversion factor. Adjust for locality GPCI and your payer's contracted conversion factor for actual payment.

Procedures · CMS status A

90471

Immunization admin

Immunization administration, percutaneous, intradermal, subcutaneous, or intramuscular; one vaccine.

Outpatient IM Geri / CCM

Model in calculator →Audit a note

Work RVU

0.17

2026 Medicare pays

$22.04

National GPCI · non-facility · CF $33.4009

RVU anatomyWork 0.17 + Practice 0.48 + Malpractice 0.01 = 0.66 total

Work (your effort)Practice expenseMalpractice

When to use it

First vaccine administered at the visit.

Full guidance

Add 90472 for each additional vaccine.

Documentation checklist

✓Vaccine name, dose, route, site.
✓Lot number, expiration, manufacturer.
✓VIS date given to patient.
✓Counseling documented (CPT 90460/90461 if pediatric counseling).

Common pitfalls

!Vaccine product code (e.g. 90686 for flu) is billed separately.
!For Medicare Part D vaccines (Shingrix, Tdap), use roster billing or HCPCS administration codes per payer.

Common ICD-10 pairings

Z23

Pairs well with

90472

0.15 wRVU

Immunization admin each add

Educational reference, not billing or legal advice. Verify against your payer contracts and your compliance team before submission.