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See a sample rate comparisonCPT 90480 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Admn Sarscov2 Vac 1/Only Cmp, Immunization Administration By Intramuscular Injection Severe Acute Respiratory Syndrome Coronavirus 2 (Sars-Cov-2) (Coronavirus Disease [Covid-19]) Vaccine; First Or Only Component Of Each Vaccine Administered
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Immunization Administration for Vaccines/Toxoids |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 90480 |
| Medicaid Fee Schedule | $39.45 median of the 8 states in the free preview · View Medicaid rates for 90480 |
National average reimbursement for CPT 90480 by major payers:
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CPT 90480
5 of 25 sample ratesHigher to lower in this preview
Meghan O'Neill
Pediatric Faculty Foundation In
$101.12Published rateRhonda Lampen
$80.06Published rateChristopher Raio
St Francis Hospital
$65.07Published rateNeil Jariwala
Loyola University Medical Center
$45.74Published rateMelissa Wagner-Schuman
$39.93Published rate
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See a sample payer proposalCPT 90480 vs. Other Immunization Administration for Vaccines/Toxoids Codes
The CPT 90480 code is part of the Medicine Services and Procedures services used for Immunization Administration for Vaccines/Toxoids. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 90480 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 90480-CPT | Moderate | Admn Sarscov2 Vac 1/Only Cmp, Immunization Administration By Intramuscular Injection Severe Acute Respiratory Syndrome Coronavirus 2 (Sars-Cov-2) (Coronavirus Disease [Covid-19]) Vaccine; First Or Only Component Of Each Vaccine Administered |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90480. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90480 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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