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PreventivePreventive2026 Compliant

CPT 90480

2026 Billing Guide

COVID-19 Vac Admin

Reimbursement

$40.00

Threshold

N/A

2026 Status

Active

What is CPT Code 90480?

CPT 90480 is defined as: Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease) vaccine, single dose. This is the universal standard code for administering any approved COVID-19 vaccine in 2026.

This code is primarily used for Preventive services. It falls under the category of Vaccine Administration and is valid for the 2026 calendar year according to the CMS Physician Fee Schedule.

2026 RVU Components

Relative Value Units (Non-Facility)

Standard Formula Applied

Work RVU

0

Physician Effort

PE (Non-Fac)

1.2

Practice Expense

Malpractice

0

Risk Factor

Total RVU

1.2

Note: Carrier-priced or set national rate

2026 CMS Policy Intelligence

standardization

Post-PHE normalization: 90480 replaces previous product-specific admin codes (e.g., 0001A) as the universal standard.

ncci correction

Jan 2026 update allows concurrent billing with G0008 (Flu Admin) without a modifier, recognizing co-administration as the standard of care.

home incentive

Home administration add-on (M0201) provides ~$40.98 additional revenue for homebound services.

Administrative Framework

Place of Service

11 (Office)12 (Home)20 (Urgent Care)71 (State or Local Public Health Clinic)

NCCI Exclusions

Do not bill with:G0008 (Allowed without modifier as of Jan 2026)

Key Modifiers

M0201Add-on for home administration of COVID-19 vaccine (covers travel).

Required Primary Codes

Corresponding COVID-19 Vaccine Product Code

Must be billed alongside a primary service.

Operational Requirements

minimum time

Procedure-based

staff type

Qualified health professional or clinical staff

frequency

Per dose administered (initial, booster, etc.).

add on codes

M0201

counseling bundling

The work of vaccine counseling is captured in 90480. Cannot bill separate E/M for counseling if the vaccine is administered.

Compliance Checklist

Documentation of vaccine manufacturer, lot number, expiration date, and site of injection.
Statement that vaccine counseling was provided.
Patient consent.

Audit Defense

No specific audit defense elements defined.

Common Clinical Scenarios

Patient receives seasonal COVID-19 booster during annual checkup.

CMS Eligibility: Prevention of SARS-CoV-2 infection.. Single dose encounter.

Target Specialties & Utilization

Primary CarePharmacyInfectious DiseasePublic Health

Typical Clinical Indications (ICD-10)

Z23 (Encounter for immunization)

Billing Differentiation

VS 90471

90471 is for non-COVID/Flu/Pneumo immunizations; 90480 is COVID-specific.

VS G0008

G0008 is for Influenza administration.

Frequently Asked Questions

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