CPT
90471 — Immunization administration, single vaccine
ACA-covered vaccines should be free, including the admin fee.
Vaccines
90671 — Pneumococcal conjugate vaccine, 15 valent , IM
Vaxneuvance (PCV15) protects against 15 strains of pneumococcal bacteria causing pneumonia and meningitis.
- Typical setting: Doctor's office, pharmacy, clinic
- National avg charge (illustrative): $225–$275 per dose
- Most-disputed reason: Billing 90671 when PCV20 (90677) was given — verify product name and NDC
What it means
What 90671 actually means
Vaxneuvance (PCV15) protects against 15 strains of pneumococcal bacteria causing pneumonia and meningitis. It is used in adults age 19+ with certain conditions or age 65+, and can be given in sequence with PPSV23.
Common errors with this code
What goes wrong on real bills.
Most bills that look correct still contain at least one of these issues. Up to 49% of medical bills contain errors (CFPB).
- Billing 90671 when PCV20 (90677) was given — verify product name and NDC
- Billing PCV15 and PCV20 for the same patient in the same year without clinical documentation
- Missing administration code
If you see 90671 on your bill
Three steps before paying.
1. Get the itemized bill. If your statement only shows a summary, request the CPT-level itemized bill before paying. Generate the request language →
2. Cross-check against the EOB. Compare what your insurer's Explanation of Benefits says you owe versus what the hospital is asking. They disagree more often than people think. Read the bill-vs-EOB guide →
3. Run a free Bill Scan. Upload the bill (and EOB if you have it) and BillBusted will flag the most likely issues with this specific code in your specific state. Run free scan →
Related codes
Other codes in this category.
People who land on 90671 often also see these adjacent codes on the same bill.
CPT
90472 — Immunization admin; each additional vaccine
Vaccine — admin (90471) is separate from the vaccine product code.
CPT
90651 — Human papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent , IM
Vaccine — admin (90471) is separate from the vaccine product code.
CPT
90670 — Pneumococcal conjugate vaccine, 13 valent , IM
Vaccine — admin (90471) is separate from the vaccine product code.
CPT
90677 — Pneumococcal conjugate vaccine, 20 valent , IM
Vaccine — admin (90471) is separate from the vaccine product code.
CPT
90686 — Influenza vaccine, quadrivalent, IM
Should be free under ACA. Any charge is likely a coding error.
Related BillBusted guides
Plain-English reads if you see 90671 on a bill.
90671 FAQ
Plain-English answers.
What does 90671 usually cost?
$225–$275 per dose. Costs vary by region, payer contract, and whether the service was performed in a hospital outpatient department (which adds a facility fee) versus a free-standing clinic.
What's the most common billing error on 90671?
Billing 90671 when PCV20 (90677) was given — verify product name and NDC
What should I do if I see 90671 on my bill?
Request the itemized bill and the matching EOB from your insurer. Compare the units/quantity billed against what you actually received. Run a free BillBusted scan to flag the most likely errors specific to 90671 before paying.
Don't pay 90671 blindly.
The free scan tells you in under 60 seconds whether this charge looks reasonable for your situation.