Injections, infusions & immunizations

90460 - RVUs & Medicare payment (2026)

Immunization administration with counseling, under 19, first component.

Component	Non-facility	Facility
Work RVU	0.23	0.23
Practice expense RVU	0.45	0.45
Malpractice RVU	0.02	0.02
Total RVUs	0.70	0.70
National payment (CF $33.4009)	$23.38	$23.38
Qualifying APM payment (CF $33.5675)	$23.50	$23.50

How 90460 payment varies by locality

Medicare adjusts payment with geographic practice cost indices, so the same code pays differently across the 109 fee schedule localities. In 2026, non-facility payment for 90460 ranges from $20.94 in Arkansas (AR) to $30.56 in San Jose-Sunnyvale-Santa Clara (CA); calculate 90460 for your locality.

San Jose-Sunnyvale-Santa Clara (CA) $30.56 San Jose-Sunnyvale-Santa Clara (CA) $30.47 San Francisco-Oakland-Berkeley (CA) $29.91 San Francisco-Oakland-Berkeley (CA) $29.89 Napa (CA) $28.32 Vallejo (CA) $28.28 Alaska (AK) $27.90 NYC Suburbs/Long Island (NY) $27.29 National average $23.38 … 97 more localities between … Rest Of Missouri (MO) $21.29 Alabama (AL) $21.21 Mississippi (MS) $21.12 Arkansas (AR) $20.94

Non-facility payment for 90460 in the 2026 fee schedule ($33.4009 conversion factor), before sequestration. Gray bar = national average.

Global period: XXX

No global period: the global surgery concept does not apply to this code.

Related codes - injections, infusions & immunizations

96372 · therapeutic injection, subcutaneous or intramuscular
96365 · iv infusion for therapy, initial hour
96374 · iv push, single or initial drug
96401 · chemotherapy injection, subcutaneous or intramuscular
96413 · chemotherapy iv infusion, first hour
90471 · immunization administration, first vaccine
90472 · immunization administration, each additional vaccine

Frequently asked questions

How much does Medicare pay for 90460 in 2026?

The national non-facility payment is $23.38 and the facility payment is $23.38, using the standard $33.4009 conversion factor. Actual amounts vary by Medicare locality; use the RVU calculator for your area.

What is the work RVU for 90460?

The 2026 work RVU for 90460 is 0.23. Total RVUs are 0.70 in the non-facility setting and 0.70 in the facility setting.

Why are the facility and non-facility amounts different?

Only the practice expense component changes by setting. In an office (non-facility) the practice bears the overhead, so the PE RVU is higher; in a hospital or ASC the facility bills its own overhead separately.

Source: CMS Physician Fee Schedule relative value file (rvu26c.zip, retrieved 2026-07-11). Service description is an original plain-English summary, not CPT descriptor text. CPT® is a registered trademark of the American Medical Association. Amounts are estimates before sequestration and claim-level adjustments.