Injections, infusions & immunizations

90471 - RVUs & Medicare payment (2026)

Immunization administration, first vaccine.

Component	Non-facility	Facility
Work RVU	0.17	0.17
Practice expense RVU	0.48	0.48
Malpractice RVU	0.01	0.01
Total RVUs	0.66	0.66
National payment (CF $33.4009)	$22.04	$22.04
Qualifying APM payment (CF $33.5675)	$22.15	$22.15

How 90471 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 90471 ranges from $19.62 in Arkansas (AR) to $29.60 in San Jose-Sunnyvale-Santa Clara (CA); calculate 90471 for your locality.

San Jose-Sunnyvale-Santa Clara (CA) $29.60 San Jose-Sunnyvale-Santa Clara (CA) $29.55 San Francisco-Oakland-Berkeley (CA) $28.98 San Francisco-Oakland-Berkeley (CA) $28.97 Napa (CA) $27.34 Vallejo (CA) $27.32 Seattle (WA) $25.91 Alaska (AK) $25.78 National average $22.04 … 97 more localities between … Alabama (AL) $19.90 Rest Of Missouri (MO) $19.82 Mississippi (MS) $19.73 Arkansas (AR) $19.62

Non-facility payment for 90471 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
90472 · immunization administration, each additional vaccine
90460 · immunization administration with counseling, under 19, first component

Frequently asked questions

How much does Medicare pay for 90471 in 2026?

The national non-facility payment is $22.04 and the facility payment is $22.04, 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 90471?

The 2026 work RVU for 90471 is 0.17. Total RVUs are 0.66 in the non-facility setting and 0.66 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.