90474 Immune administration oral/nasal additional
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.
In Plain Language
extra nasal vaccine; additional oral dose
Clinical Context
Add-on code for each additional vaccine component by oral or intranasal route in same encounter.
RVU Breakdown
| Work RVU | 0.15 |
| Total RVU | 0.15 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
Medicine section codes cover a wide range of non-surgical services. Documentation should include the clinical indication, procedure details, interpretation (if applicable), and any patient-specific findings.
How This Code Compares
With a work RVU of 0.15, this code ranks in the 5th percentile among Medicine codes — 5.2x below the median (0.78). The highest wRVU in this category is 23.92.
Specialties
Frequently Asked Questions
What is CPT code 90474?
CPT 90474 (Immune administration oral/nasal additional) is a Medicine code. Immunization administration for each additional vaccine component by oral or intranasal route when multiple vaccines given.
Who uses CPT code 90474?
CPT 90474 is used by Family Medicine, Pediatrics, Internal Medicine. Add-on code for each additional vaccine component by oral or intranasal route in same encounter.
When is CPT 90474 used?
Add-on code for each additional vaccine component by oral or intranasal route in same encounter.
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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.