Immunization Codes (CPT 90460-90474)
CPT administration codes for vaccines, paired with HCPCS / CPT vaccine product codes (90471 administration + 90686 flu vaccine, etc.).
1 min read · Last reviewed May 23, 2026
At a glance
- Category
- Billing
- Primary sources
- 2
- Workspace handoff
- revenue audit →
Where this comes up
This shows up in revenue-cycle work — claim scrubbing, charge entry, posting, A/R follow-up, and month-end close. Billers and practice managers hit this term when reconciling a payment, working a denial queue, or auditing why a claim aged past 60 days.
Full definition
What it is in practice
CDC Vaccines catalogs ACIP-recommended vaccines. Each administration encounter bills administration + product. Counseling can change the administration code (90460 series includes counseling).
How it shows up in your practice
Audit vaccine billing — wrong administration code (e.g., 90471 vs 90460) is a common revenue leak.
Sources
- CDC — Vaccines & Immunizationshttps://www.cdc.gov/vaccines/
- CMS — Physician Fee Schedulehttps://www.cms.gov/medicare/payment/fee-schedules/physician
Audit vaccine billing in Revenue Audit
Open revenue audit →Related terms
- BillingPreventive ServicesUSPSTF Grade A and B recommendations and ACIP-recommended vaccines that ACA-covered plans must cover without cost-sharing.
- BillingAnnual Wellness Visit (AWV)A Medicare-covered preventive visit (G0438 initial, G0439 subsequent) focused on personalized prevention plans.
- BillingJ-CodeHCPCS Level II codes (J0000-J9999) used to bill drugs administered other than by oral method.
D3rx is a healthcare-billing and compliance research aid maintained by D3rx Inc. Articles are drafted by an LLM (Anthropic Claude) against primary HHS, OCR, CMS, eCFR, NIST, and state-regulator publications, and reviewed for restraint and source fidelity by the D3rx team.
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Related across the archive
- GlossaryPreventive ServicesUSPSTF Grade A and B recommendations and ACIP-recommended vaccines that ACA-covered plans must cover without cost-sharing.
- GlossaryAnnual Wellness Visit (AWV)A Medicare-covered preventive visit (G0438 initial, G0439 subsequent) focused on personalized prevention plans.
- GlossaryJ-CodeHCPCS Level II codes (J0000-J9999) used to bill drugs administered other than by oral method.
- GlossaryCardiac Stress Test (93015-93018)CPT codes for cardiac stress testing, with separate codes for the global service, supervision, and interpretation.
- GlossaryCharge CaptureThe process of identifying and recording every billable service furnished during a patient encounter.
- GlossaryClean Claim RatePercentage of claims accepted by the payer on first submission without edits or rejections.
- GlossaryConversion FactorThe dollar value multiplied by the geographically-adjusted Relative Value Unit to determine the Medicare-allowable amount for a service.
- BillingAWV + Problem Visit Same Day: How to Bill CorrectlyYes, you can bill AWV and a problem visit the same day. Here's how to do it correctly with modifier -25.
This glossary entry is a research aid for billing and compliance staff. It does not provide legal, medical, or financial advice and does not replace counsel. References cited link to primary sources at HHS, OCR, CMS, eCFR, NIST, and the relevant payer or industry body.