Home › Drug Codes › CPT Codes › 90732 · Pneumovax 23
Updated October 1st, 2026

Pneumovax 23 CPT Vaccine Code: 90732

Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use

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Medicare Payment Limit ?
$133.472
per dose
CDC Cost / Dose ?
$•••.••
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Private Sector Cost / Dose ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
3
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Medicare Coverage Medicare Part B covers Pneumovax 23 as a preventive vaccine — the Part B deductible and coinsurance do not apply.

Vaccine & Product Overview

HCPCS Descriptor Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use
Manufacturer Merck
Route of Administration Intramuscular, Subcutaneous
Generic Status Single-Source; Branded
Dosage Type Single-Dose
Dosage Form Injection, Solution

About Pneumovax 23

Pneumovax 23 is a medication aligned to the HCPCS CPT Drug Code: 90732 for billing, pricing, and reimbursement purposes in the United States. It is a Vaccine drug administered via the intramuscular or subcutaneous routes and manufactured by Merck.

According to CMS Drug Use Information: This vaccine is used to help prevent pneumococcal disease, an infection caused by a certain bacteria (Streptococcus pneumoniae). This bacteria can cause ear infections or other more serious infections (such as pneumonia, meningitis, blood infection). Vaccination is the best way to protect against this disease. This vaccine works by increasing the body's natural defense (immunity) against the bacteria. Vaccines may not fully protect everyone who receives them.

Disclaimer: This is a summary and does not contain all possible information about this product. For complete information about this product or your specific health needs, ask your healthcare professional.

NDC Code Information

3 NDC packages are crosswalked to 90732. Package detail is available to logged-in subscribers.

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Pneumovax 23 Pricing & Reimbursement

90732 Private Payer Reimbursement
$134.53 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Historical Graphing and Billing Calculator

per HCPCS unit
As of Q4 2026

Pneumovax 23 Vaccine Administration Codes

Medicare bills the administration of Pneumovax 23 with HCPCS code G0009, and allows simplified roster billing when vaccinating multiple patients. The CPT codes below apply to non-Medicare payers.

The below list of CPT codes is intended for informational purposes only and may not be exhaustive. CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved.

Code Description
G0009 Administration of pneumococcal vaccine (Medicare)
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), one vaccine (single or combination vaccine/toxoid)
90472 Immunization administration (each additional vaccine or toxoid), when performed in conjunction with primary procedure.

Pneumovax 23 Medically Unlikely Edits (MUE)

The most billing units of 90732 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 0.5 ml.

Practitioner Office & Hospital Outpatient
1 unit / day
= 0.5 ml per day

MAI 2 · Date of Service Edit: Policy. Absolute per-day limit set by policy or regulation; units above it are not payable, and denials are not appealable on medical-necessity grounds. See all MUE limits →

ml Enter a dose to see how many billing units it is and whether it is under the limit.

Pneumovax 23 Clinical Information

Indications and drug classification.

Treated Diseases & Conditions

This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.

Pneumococcal disease
Drug Class
Actively Acquired Immunity [PE]Inactivated Pneumococcal Vaccine [EPC]Pneumococcal Vaccines [CS]VaccinesInactivated [CS]

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Frequently Asked Questions

Is there an available Pneumovax 23 billing and coding guide?
Our team has not identified a manufacturer-published source of billing and coding information for Pneumovax 23.
Are there any available Pneumovax 23 patient assistance programs?
Pneumovax 23 patient assistance information can be found through Merck. Visit Here →
Where can I find Pneumovax 23 prescribing information?
Pneumovax 23 prescribing information can be found at the link below: Visit Here →
Where can I find Pneumovax 23 side effect information?
Information regarding Pneumovax 23's side effects can be found at MedlinePlus Visit Here →
Does billing Pneumovax 23 require JZ/JW wastage modifiers?
CMS does not include Pneumovax 23 (90732) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing 90732. For more information, visit the link below.

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