Home › Drug Codes › CPT Codes › 90677 · PREVNAR 20
Updated July 1st, 2026

PREVNAR 20 CPT Vaccine Code: 90677

Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use

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Q4 2026 Medicare Payment Limit for 90677, effective October 1, 2026: $361.418 per dose, up 6.0% from $341.001. From CMS's final file.

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Medicare Payment Limit ?
$341.001
per dose · Q3 2026
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 PREVNAR 20 as a preventive vaccine — the Part B deductible and coinsurance do not apply.

Vaccine & Product Overview

HCPCS Descriptor Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use
Manufacturer Pfizer
Route of Administration Intramuscular
Generic Status Single-Source; Branded
Dosage Type Single-Dose
Dosage Form Injection, Suspension

About PREVNAR 20

Prevnar 20 is a medication aligned to the HCPCS CPT Drug Code: 90677 for billing, pricing, and reimbursement purposes in the United States. This Vaccine medication is administered via the intramuscular route and manufactured by Pfizer.

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 90677. Package detail is available to logged-in subscribers.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
•••••-••••-•• Log in to view PREVNAR 20
PREVNAR 20
PREVNAR 20
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PREVNAR 20 Pricing & Reimbursement

90677 Private Payer Reimbursement
$333.02 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

Create an account on PayerPrice for more information →
UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Historical Graphing and Billing Calculator

per HCPCS unit
As of Q3 2026

PREVNAR 20 Vaccine Administration Codes

Medicare bills the administration of PREVNAR 20 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.

PREVNAR 20 Medically Unlikely Edits (MUE)

The most billing units of 90677 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 ea.

Practitioner Office & Hospital Outpatient
1 unit / day
Same limit in both settings

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 →

PREVNAR 20 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.

Invasive disease caused by Streptococcus pneumoniae Otitis media caused by Streptococcus pneumoniae Pneumonia caused by Streptococcus pneumoniae
Drug Class
Actively Acquired Immunity [PE]Inactivated Pneumococcal Vaccine [EPC]Pneumococcal Vaccines [CS]VaccinesConjugate [CS]Inactivated [CS]

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Frequently Asked Questions

Is there an available Prevnar 20 billing and coding guide?
Our team has not identified a manufacturer-published source of billing and coding information for PREVNAR 20.
Are there any available Prevnar 20 patient assistance programs?
PREVNAR 20 patient assistance information can be found through Pfizer. Visit Here →
Where can I find Prevnar 20 prescribing information?
PREVNAR 20 prescribing information can be found at the link below: Visit Here →
Where can I find Prevnar 20 side effect information?
Information regarding PREVNAR 20's side effects can be found at MedlinePlus Visit Here →
Does billing PREVNAR 20 require JZ/JW wastage modifiers?
CMS does not include PREVNAR 20 (90677) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing 90677. For more information, visit the link below.

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