CVX Codeset
|
# |
CodeValue |
Description |
1 |
03 |
MMR |
2 |
06 |
rubella |
3 |
07 |
mumps |
4 |
08 |
Hep B, adolescent or pediatric |
5 |
09 |
Td (adult), adsorbed |
6 |
10 |
IPV |
7 |
101 |
typhoid, ViCPs |
8 |
104 |
Hep A-Hep B |
9 |
106 |
DTaP, 5 pertussis antigens |
10 |
110 |
DTaP-Hep B-IPV |
11 |
113 |
Td (adult) preservative free |
12 |
114 |
meningococcal MCV4P |
13 |
115 |
Tdap |
14 |
116 |
rotavirus, pentavalent |
15 |
118 |
HPV, bivalent |
16 |
119 |
rotavirus, monovalent |
17 |
12 |
diphtheria antitoxin |
18 |
120 |
DTaP-Hib-IPV |
19 |
121 |
zoster |
20 |
13 |
TIG |
21 |
130 |
DTaP-IPV |
22 |
133 |
Pneumococcal conjugate PCV 13 |
23 |
134 |
Japanese Encephalitis IM |
24 |
135 |
Influenza, high dose seasonal |
25 |
136 |
Meningococcal MCV4O |
26 |
138 |
Td (adult) |
27 |
140 |
Influenza, seasonal, injectable, preservative free |
28 |
141 |
Influenza, seasonal, injectable |
29 |
142 |
tetanus toxoid, not adsorbed |
30 |
143 |
Adenovirus types 4 and 7 |
31 |
144 |
influenza, seasonal, intradermal, preservative free |
32 |
145 |
RSV-MAb (new) |
33 |
146 |
DTaP,IPV,Hib,HepB |
34 |
148 |
Meningococcal C/Y-HIB PRP |
35 |
149 |
influenza, live, intranasal, quadrivalent |
36 |
150 |
influenza, injectable, quadrivalent, preservative free |
37 |
153 |
Influenza, injectable, MDCK, preservative free |
38 |
154 |
Hep A, IG |
39 |
155 |
influenza, recombinant, injectable, preservative free |
40 |
156 |
Rho(D)-IG |
41 |
157 |
Rho(D) -IG IM |
42 |
158 |
influenza, injectable, quadrivalent |
43 |
160 |
Influenza A monovalent (H5N1), ADJUVANTED-2013 |
44 |
161 |
Influenza, injectable,quadrivalent, preservative free, pediatric |
45 |
162 |
meningococcal B, recombinant |
46 |
163 |
meningococcal B, OMV |
47 |
165 |
HPV9 |
48 |
166 |
influenza, intradermal, quadrivalent, preservative free |
49 |
17 |
Hib, unspecified formulation |
50 |
18 |
rabies, intramuscular injection |
51 |
19 |
BCG |
52 |
20 |
DTaP |
53 |
21 |
varicella |
54 |
23 |
plague |
55 |
24 |
anthrax |
56 |
25 |
typhoid, oral |
57 |
27 |
botulinum antitoxin |
58 |
28 |
DT (pediatric) |
59 |
29 |
CMVIG |
60 |
30 |
HBIG |
61 |
32 |
meningococcal MPSV4 |
62 |
33 |
pneumococcal polysaccharide PPV23 |
63 |
34 |
RIG |
64 |
35 |
tetanus toxoid, adsorbed |
65 |
36 |
VZIG |
66 |
37 |
yellow fever |
67 |
39 |
Japanese encephalitis SC |
68 |
40 |
rabies, intradermal injection |
69 |
41 |
typhoid, parenteral |
70 |
43 |
Hep B, adult |
71 |
44 |
Hep B, dialysis |
72 |
48 |
Hib (PRP-T) |
73 |
49 |
Hib (PRP-OMP) |
74 |
50 |
DTaP-Hib |
75 |
51 |
Hib-Hep B |
76 |
52 |
Hep A, adult |
77 |
53 |
typhoid, parenteral, AKD (U.S. military) |
78 |
56 |
dengue fever |
79 |
57 |
hantavirus |
80 |
58 |
Hep C |
81 |
59 |
Hep E |
82 |
60 |
herpes simplex 2 |
83 |
61 |
HIV |
84 |
62 |
HPV, quadrivalent |
85 |
63 |
Junin virus |
86 |
64 |
leishmaniasis |
87 |
65 |
leprosy |
88 |
67 |
malaria |
89 |
68 |
melanoma |
90 |
70 |
Q fever |
91 |
71 |
RSV-IGIV |
92 |
72 |
rheumatic fever |
93 |
73 |
Rift Valley fever |
94 |
75 |
vaccinia (smallpox) |
95 |
79 |
vaccinia immune globulin |
96 |
801 |
AS03 Adjuvant |
97 |
83 |
Hep A, ped/adol, 2 dose |
98 |
86 |
IG |
99 |
87 |
IGIV |
100 |
88 |
influenza, unspecified formulation |
101 |
89 |
polio, unspecified formulation |
102 |
93 |
RSV-MAb |
103 |
94 |
MMRV |
104 |
998 |
no vaccine administered |
|