90671 Medicare Reimbursement Rate (2026)
Current CMS pricing and breakdown for Pcv15 vaccine im.
National Average Payment
Non-Facility (Private Office) Rate
90671 Reimbursement Rate History
| Quarter | Q2 2025 | Q3 2025 | Q4 2025 | Q1 2026 | Q2 2026 | Q3 2026 |
|---|---|---|---|---|---|---|
| National Average Payment | $261.15 | $261.15 | $261.15 | $269.31 | $269.31 | $269.31 |
ℹ️ Good to Know
This item has a standard price nationwide. Your local rate will likely match the amount shown above.
Code Description
Pcv15 vaccine im
Reimbursement Summary
CPT code 90671 (Pcv15 vaccine im) had a 2026 Medicare non-facility reimbursement rate of $269.31. This reflects a 3.12% change from the prior year.
The 2026 National Medicare reimbursement for 90671 is $269.31. This item is paid at a standard national rate, so local variation is typically minimal.
Description: Pcv15 vaccine im. Payment policies and coverage rules can still vary by setting and claim details, so confirm final guidance through CMS when needed.
90671 Reimbursement Rate History
| Quarter | Q2 2025 | Q3 2025 | Q4 2025 | Q1 2026 | Q2 2026 | Q3 2026 |
|---|---|---|---|---|---|---|
| National Average Payment | $261.15 | $261.15 | $261.15 | $269.31 | $269.31 | $269.31 |
Historical Medicare Reimbursement
| Quarter | Non-Facility Rate | Facility Rate | YoY % Change (Non-Fac) | YoY % Change (Fac) |
|---|---|---|---|---|
| 2026 Q3 | $269.31 | $269.31 | +3.12% | +3.12% |
| 2026 Q2 | $269.31 | $269.31 | +3.12% | +3.12% |
| 2026 Q1 | $269.31 | $269.31 | +6.21% | +6.21% |
| 2025 Q4 | $261.15 | $261.15 | — | — |
| 2025 Q3 | $261.15 | $261.15 | — | — |
| 2025 Q2 | $261.15 | $261.15 | — | — |
| 2025 Q1 | $253.56 | $253.56 | — | — |
Q3 2026 Breakdown
| Component | Office (Non-Fac) | Facility (Hosp) |
|---|---|---|
| Work RVU | ||
| Practice Expense (PE) | ||
| Malpractice (MP) | ||
| Total RVUs | 0.00 | 0.00 |
Are you being paid correctly for this code?
Compare a payment against the Medicare benchmark for this code.
Medicare rates are used as a benchmark only. Actual payer contracts, modifiers, place of service, units, and billing rules may affect reimbursement. This tool is for educational and operational review purposes, not legal or billing advice.
Commercial Payer Rates for 90671
Pro FeatureNational average reimbursement from major commercial payers based on CMS Transparency in Coverage machine-readable files.
| Modifier | Place of Service | Avg. Rate | vs Medicare | Percentile Range |
|---|---|---|---|---|
| NULL | Office (11) | $91.46 | -4.0% | $80 — $104 |
| NULL | Telehealth (02) | $88.20 | -7.4% | $76 — $102 |
| NULL | Facility (21) | $79.31 | -15.6% | $68 — $95 |
| NULL | Outpatient Hospital (22) | $84.92 | -10.2% | $71 — $99 |
| NULL | Home (12) | $96.14 | +1.0% | $84 — $113 |
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Source: CMS Transparency in Coverage machine-readable files (MRFs). Commercial rates reflect payer-published negotiated amounts and may not reflect individual contracted rates.
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Facility vs. Non-Facility (Office) Payment
Facility vs. non-facility pricing most commonly applies to physician services paid under the RVU-based Physician Fee Schedule. For 90671 (Drug / Biological), the payment methodology may not include both facility and non-facility rates.
Learn How This Reimbursement Is Calculated
Medicare reimbursement is determined by RVUs, geographic adjustments, and the annual conversion factor.
Frequently Asked Questions
What is the 2026 Medicare rate for 90671?
The 2026 National Average Medicare reimbursement rate for 90671 (Drug / Biological) is $269.31. This rate is effective as of January 1, 2026.
What is the description for code 90671?
Pcv15 vaccine im
Why do facility and non-facility payments differ for 90671?
Facility vs. non-facility differences usually apply to RVU-based physician services. 90671 may not use both facility and non-facility pricing depending on its payment methodology.
How can I find my local Medicare rate for 90671?
Use MedFeeSchedule's Medicare Physician Fee Schedule Lookup Tool on the homepage to estimate your locality-adjusted reimbursement. Medicare payment can vary based on geographic adjustments (GPCI), place of service, and claim specifics.
Is 90671 covered by Medicare?
Coverage depends on medical necessity, setting, and Medicare policy. Some codes may be bundled, contractor-priced, or restricted. Verify final coverage guidance through CMS or your local MAC when applicable.
