CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31

CPT 90480 RVU and Medicare Payment (2026)

Admn sarscov2 vac 1/only cmp — 0.24 work RVU, about $23.71 non-facility Medicare payment at the 2026 conversion factor.

Work RVU
0.24
PE RVU (non-facility)
0.45
PE RVU (facility)
0.05
MP RVU
0.02
Office payment
$23.71
Facility payment
$10.35

How the payment is calculated

Total RVU is work plus practice expense plus malpractice, each adjusted by its GPCI factor, then multiplied by the conversion factor. For 90480 in a non-facility setting with national GPCI: (0.24 + 0.45 + 0.02) × $33.4009 ≈ $23.71. The same code in a facility setting pays about $10.35 because facility PE RVU (0.05) replaces office PE RVU.

What changes by locality

GPCI moves 90480 non-facility payment from $21.27 to $30.93 across CMS localities — from Arkansas to San Jose-sunnyvale-santa Clara (san Benito Cnty). Check your exact locality in the GPCI calculator rather than using a state average.

Related codes

Checking a different code or locality? Open the full RVU calculator to run any of the 7,790 CPT/HCPCS codes with your own GPCI factors.

Frequently asked questions

What is the 2026 work RVU for CPT 90480?

0.24. Work RVU measures physician time, skill, and intensity — it does not change by setting or locality. Total payment adds practice expense and malpractice RVUs plus the conversion factor.

How much does Medicare pay for CPT 90480 in 2026?

About $23.71 non-facility ($10.35 facility) at national GPCI with the 2026 $33.4009 conversion factor. Your locality GPCI moves the number — see the range above.

Does the work RVU change between office and facility?

No. Work RVU (0.24) and malpractice RVU stay fixed; only practice expense changes (0.45 office vs 0.05 facility). That is the entire office-vs-facility payment gap.