90474 Immune administration oral/nasal additional
Medicine
+Add-on
Also known as: additional oral vaccine, extra intranasal vaccine
Immunization administration for each additional vaccine component by oral or intranasal route when multiple vaccines given.
Clinical Context
Add-on code for each additional vaccine component by oral or intranasal route in same encounter.
RVU Breakdown
| Work RVU | 0.15 |
| Practice Expense RVU | 0.21 |
| Malpractice RVU | 0.01 |
| Total RVU | 0.37 |
Est. Medicare Payment
$12.36
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Specialties
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.