CPT 90480
Global XXXAdmn sarscov2 vac 1/only cmp
CPT 90480 Billing & Documentation Guide
CPT code 90480 (Admn sarscov2 vac 1/only cmp) is classified under Vaccines/Immunization with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.24, a non-facility practice expense RVU of 0.45, and a malpractice RVU of 0.02, a total non-facility RVU of 0.71 and facility RVU of 0.31. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $24.44, though rates vary from $21.27 to $30.93 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 90480, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 90480 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Statutory exclusion
No global period (E/M and other non-procedural services)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 90480 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 90480
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.24 | 0.24 |
| Practice Expense RVU | 0.45 | 0.05 |
| Malpractice RVU | 0.02 | 0.02 |
| Total RVU | 0.71 | 0.31 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 90480
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $26.45 | $10.64 | $24.98 - $30.93 | 29 |
| Florida | $24.4 | $10.99 | $23.39 - $25.35 | 3 |
| Georgia | $23.17 | $10.42 | $22.22 - $24.11 | 2 |
| Illinois | $23.84 | $10.94 | $22.78 - $24.71 | 4 |
| Michigan | $23.07 | $10.53 | $22.49 - $23.65 | 2 |
| North Carolina | $22.47 | $10 | $22.47 - $22.47 | 1 |
| New York | $26.07 | $11.17 | $22.76 - $27.64 | 5 |
| Ohio | $22.41 | $10.21 | $22.41 - $22.41 | 1 |
| Pennsylvania | $23.53 | $10.44 | $22.45 - $24.6 | 2 |
| Texas | $23.48 | $10.33 | $22.31 - $24.53 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 90480
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 90480 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0591T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0592T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0593T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 36591 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 36592 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 90473 | Column 1 (primary), can be billed with modifier | 9 | Misuse of Column Two code with Column One code |
| 96523 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 99202 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 99203 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 99204 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
Frequently Asked Questions, CPT 90480
What does CPT code 90480 mean? +
CPT code 90480 represents: Admn sarscov2 vac 1/only cmp. It's in the Vaccines/Immunization category with a global period of XXX.
What is the Medicare reimbursement for CPT 90480? +
The 2026 Medicare national average non-facility payment for CPT 90480 is $24.44. Rates range from $21.27 to $30.93 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 90480? +
Medicine section spans a wide range: therapy services use GP/GO/GN (PT/OT/SLP plans of care) and KX (above cap with documentation). Drug administration uses JW (waste) and JZ (no waste). Professional/technical split applies to some diagnostic codes.
What bundling edits apply to CPT 90480? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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