|
Code
|
Description
|
Comment
|
Version
|
| 01
|
DTP |
diphtheria, tetanus toxoids and pertussis vaccine |
added v2.3, removed after v2.8.2 |
| 02
|
OPV |
poliovirus vaccine, live, oral |
added v2.3, removed after v2.8.2 |
| 03
|
MMR |
measles, mumps and rubella virus vaccine |
added v2.3, removed after v2.8.2 |
| 04
|
M/R |
measles and rubella virus vaccine |
added v2.3, removed after v2.8.2 |
| 05
|
measles |
measles virus vaccine |
added v2.3, removed after v2.8.2 |
| 06
|
rubella |
rubella virus vaccine |
added v2.3, removed after v2.8.2 |
| 07
|
mumps |
mumps virus vaccine |
added v2.3, removed after v2.8.2 |
| 08
|
Hep B, adolescent or pediatric |
hepatitis B vaccine, pediatric or pediatric/adolescent dosage |
added v2.3, removed after v2.8.2 |
| 09
|
Td (adult) |
tetanus and diphtheria toxoids, adsorbed for adult use |
added v2.3, removed after v2.8.2 |
| 10
|
IPV |
poliovirus vaccine, inactivated |
added v2.3, removed after v2.8.2 |
| 100
|
pneumococcal conjugate |
pneumococcal conjugate vaccine, polyvalent |
added v2.4, removed after v2.8.2 |
| 101
|
typhoid, ViCPs |
typhoid Vi capsular polysaccharide vaccine |
added v2.4, removed after v2.8.2 |
| 102
|
DTP-Hib-Hep B |
DTP- Haemophilus influenzae type b conjugate and hepatitis b vaccine |
added v2.5, removed after v2.8.2 |
| 103
|
meningococcal C conjugate |
meningococcal C conjugate vaccine |
added v2.5, removed after v2.8.2 |
| 104
|
Hep A-Hep B |
hepatitis A and hepatitis B vaccine |
added v2.5, removed after v2.8.2 |
| 105
|
vaccinia (smallpox) diluted |
vaccinia (smallpox) vaccine, diluted |
added v2.5, removed after v2.8.2 |
| 106
|
DTaP, 5 pertussis antigens6 |
diphtheria, tetanus toxoids and acellular pertussis vaccine, 5 pertussis antigens |
added v2.5, removed after v2.8.2 |
| 107
|
DTaP, NOS |
diphtheria, tetanus toxoids and acellular pertussis vaccine, NOS |
added v2.5, removed after v2.8.2 |
| 108
|
meningococcal, NOS |
meningococcal vaccine, NOS |
added v2.5, removed after v2.8.2 |
| 109
|
pneumococcal, NOS |
pneumococcal vaccine, NOS |
added v2.5, removed after v2.8.2 |
| 11
|
pertussis |
pertussis vaccine |
added v2.3, removed after v2.8.2 |
| 110
|
DTaP-Hep B-IPV |
DTaP-hepatitis B and poliovirus vaccine |
added v2.6, removed after v2.8.2 |
| 111
|
influenza, live, intranasal |
influenza virus vaccine, live, attenuated, for intranasal use |
added v2.6, removed after v2.8.2 |
| 112
|
tetanus toxoid, NOS |
tetanus toxoid, NOS |
added v2.6, removed after v2.8.2 |
| 113
|
Td (adult) |
tetanus and diphtheria toxoids, adsorbed, preservative free, for adult use |
added v2.6, removed after v2.8.2 |
| 114
|
meningococcal A,C,Y,W-135 diphtheria conjugate |
meningococcal polysaccharide (groups A, C, Y and W-135) diphtheria toxoid conjugate vaccine (MCV4) |
added v2.6, removed after v2.8.2 |
| 115
|
Tdap |
tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis vaccine, adsorbed |
added v2.6, removed after v2.8.2 |
| 116
|
rotavirus, pentavalent |
rotavirus, live, pentavalent vaccine |
added v2.6, removed after v2.8.2 |
| 117
|
VZIG (IND) |
varicella zoster immune globulin (Investigational New Drug) |
added v2.6, removed after v2.8.2 |
| 118
|
HPV, bivalent |
human papilloma virus vaccine, bivalent |
added v2.6, removed after v2.8.2 |
| 119
|
rotavirus, monovalent |
rotavirus, live, monovalent vaccine |
added v2.6, removed after v2.8.2 |
| 12
|
diphtheria antitoxin |
diphtheria antitoxin |
added v2.3, removed after v2.8.2 |
| 120
|
DTaP-Hib-IPV |
diphtheria, tetanus toxoids and acellular pertussis vaccine, Haemophilus influenzae type b conjugate, and poliovirus vaccine, inactivated (DTaP-Hib-IPV) |
added v2.6, removed after v2.8.2 |
| 121
|
zoster |
zoster vaccine, live |
added v2.6, removed after v2.8.2 |
| 122
|
rotavirus, NOS1 |
rotavirus vaccine, NOS |
added v2.6, removed after v2.8.2 |
| 13
|
TIG |
tetanus immune globulin |
added v2.3, removed after v2.8.2 |
| 14
|
IG, NOS |
immune globulin, NOS |
added v2.3, removed after v2.8.2 |
| 15
|
influenza, split (incl. purified surface antigen) |
influenza virus vaccine, split virus (incl. purified surface antigen) |
added v2.3, removed after v2.8.2 |
| 16
|
influenza, whole |
influenza virus vaccine, whole virus |
added v2.3, removed after v2.8.2 |
| 17
|
Hib, NOS |
Haemophilus influenzae type b vaccine, conjugate NOS |
added v2.3, removed after v2.8.2 |
| 18
|
rabies, intramuscular injection |
rabies vaccine, for intramuscular injection |
added v2.3, removed after v2.8.2 |
| 19
|
BCG |
Bacillus Calmette-Guerin vaccine |
added v2.3, removed after v2.8.2 |
| 20
|
DTaP |
diphtheria, tetanus toxoids and acellular pertussis vaccine |
added v2.3, removed after v2.8.2 |
| 21
|
varicella |
varicella virus vaccine |
added v2.3, removed after v2.8.2 |
| 22
|
DTP-Hib |
DTP-Haemophilus influenzae type b conjugate vaccine |
added v2.3, removed after v2.8.2 |
| 23
|
plague |
plague vaccine |
added v2.3, removed after v2.8.2 |
| 24
|
anthrax |
anthrax vaccine |
added v2.3, removed after v2.8.2 |
| 25
|
typhoid, oral |
typhoid vaccine, live, oral |
added v2.3, removed after v2.8.2 |
| 26
|
cholera |
cholera vaccine |
added v2.3, removed after v2.8.2 |
| 27
|
botulinum antitoxin |
botulinum antitoxin |
added v2.3, removed after v2.8.2 |
| 28
|
DT (pediatric) |
diphtheria and tetanus toxoids, adsorbed for pediatric use |
added v2.3, removed after v2.8.2 |
| 29
|
CMVIG |
cytomegalovirus immune globulin, intravenous |
added v2.3, removed after v2.8.2 |
| 30
|
HBIG |
hepatitis B immune globulin |
added v2.3, removed after v2.8.2 |
| 31
|
Hep A, pediatric, NOS |
hepatitis A vaccine, pediatric dosage, NOS |
added v2.3, removed after v2.8.2 |
| 32
|
meningococcal |
meningococcal polysaccharide vaccine (MPSV4) |
added v2.3, removed after v2.8.2 |
| 33
|
pneumococcal |
pneumococcal polysaccharide vaccine |
added v2.3, removed after v2.8.2 |
| 34
|
RIG |
rabies immune globulin |
added v2.3, removed after v2.8.2 |
| 35
|
tetanus toxoid |
tetanus toxoid, adsorbed |
added v2.3, removed after v2.8.2 |
| 36
|
VZIG |
varicella zoster immune globulin |
added v2.3, removed after v2.8.2 |
| 37
|
yellow fever |
yellow fever vaccine |
added v2.3, removed after v2.8.2 |
| 38
|
rubella/mumps |
rubella and mumps virus vaccine |
added v2.3, removed after v2.8.2 |
| 39
|
Japanese encephalitis |
Japanese encephalitis vaccine |
added v2.3, removed after v2.8.2 |
| 40
|
rabies, intradermal injection |
rabies vaccine, for intradermal injection |
added v2.3, removed after v2.8.2 |
| 41
|
typhoid, parenteral |
typhoid vaccine, parenteral, other than acetone-killed, dried |
added v2.3, removed after v2.8.2 |
| 42
|
Hep B, adolescent/high risk infant2 |
hepatitis B vaccine, adolescent/high risk infant dosage |
added v2.3, removed after v2.8.2 |
| 43
|
Hep B, adult4 |
hepatitis B vaccine, adult dosage |
added v2.3, removed after v2.8.2 |
| 44
|
Hep B, dialysis |
hepatitis B vaccine, dialysis patient dosage |
added v2.3, removed after v2.8.2 |
| 45
|
Hep B, NOS |
hepatitis B vaccine, NOS |
added v2.3, removed after v2.8.2 |
| 46
|
Hib (PRP-D) |
Haemophilus influenzae type b vaccine, PRP-D conjugate |
added v2.3, removed after v2.8.2 |
| 47
|
Hib (HbOC) |
Haemophilus influenzae type b vaccine, HbOC conjugate |
added v2.3, removed after v2.8.2 |
| 48
|
Hib (PRP-T) |
Haemophilus influenzae type b vaccine, PRP-T conjugate |
added v2.3, removed after v2.8.2 |
| 49
|
Hib (PRP-OMP) |
Haemophilus influenzae type b vaccine, PRP-OMP conjugate |
added v2.3, removed after v2.8.2 |
| 50
|
DTaP-Hib |
DTaP-Haemophilus influenzae type b conjugate vaccine |
added v2.3, removed after v2.8.2 |
| 51
|
Hib-Hep B |
Haemophilus influenzae type b conjugate and Hepatitis B vaccine |
added v2.3, removed after v2.8.2 |
| 52
|
Hep A, adult |
hepatitis A vaccine, adult dosage |
added v2.3, removed after v2.8.2 |
| 53
|
typhoid, parenteral, AKD (U.S. military) |
typhoid vaccine, parenteral, acetone-killed, dried (U.S. military) |
added v2.3.1, removed after v2.8.2 |
| 54
|
adenovirus, type 4 |
adenovirus vaccine, type 4, live, oral |
added v2.3.1, removed after v2.8.2 |
| 55
|
adenovirus, type 7 |
adenovirus vaccine, type 7, live, oral |
added v2.3.1, removed after v2.8.2 |
| 56
|
dengue fever |
dengue fever vaccine |
added v2.3.1, removed after v2.8.2 |
| 57
|
hantavirus |
hantavirus vaccine |
added v2.3.1, removed after v2.8.2 |
| 58
|
Hep C |
hepatitis C vaccine |
added v2.3.1, removed after v2.8.2 |
| 59
|
Hep E |
hepatitis E vaccine |
added v2.3.1, removed after v2.8.2 |
| 60
|
herpes simplex 2 |
herpes simplex virus, type 2 vaccine |
added v2.3.1, removed after v2.8.2 |
| 61
|
HIV |
human immunodeficiency virus vaccine |
added v2.3.1, removed after v2.8.2 |
| 62
|
HPV, quadrivalent |
human papilloma virus vaccine, quadrivalent |
added v2.3.1, removed after v2.8.2 |
| 63
|
Junin virus |
Junin virus vaccine |
added v2.3.1, removed after v2.8.2 |
| 64
|
leishmaniasis |
leishmaniasis vaccine |
added v2.3.1, removed after v2.8.2 |
| 65
|
leprosy |
leprosy vaccine |
added v2.3.1, removed after v2.8.2 |
| 66
|
Lyme disease |
Lyme disease vaccine |
added v2.3.1, removed after v2.8.2 |
| 67
|
malaria |
malaria vaccine |
added v2.3.1, removed after v2.8.2 |
| 68
|
melanoma |
melanoma vaccine |
added v2.3.1, removed after v2.8.2 |
| 69
|
parainfluenza-3 |
parainfluenza-3 virus vaccine |
added v2.3.1, removed after v2.8.2 |
| 70
|
Q fever |
Q fever vaccine |
added v2.3.1, removed after v2.8.2 |
| 71
|
RSV-IGIV |
respiratory syncytial virus immune globulin, intravenous |
added v2.3.1, removed after v2.8.2 |
| 72
|
rheumatic fever |
rheumatic fever vaccine |
added v2.3.1, removed after v2.8.2 |
| 73
|
Rift Valley fever |
Rift Valley fever vaccine |
added v2.3.1, removed after v2.8.2 |
| 74
|
rotavirus, tetravalent |
rotavirus, live, tetravalent vaccine |
added v2.3.1, removed after v2.8.2 |
| 75
|
vaccinia (smallpox) |
vaccinia (smallpox) vaccine |
added v2.3.1, removed after v2.8.2 |
| 76
|
Staphylococcus bacterio lysate |
Staphylococcus bacteriophage lysate |
added v2.3.1, removed after v2.8.2 |
| 77
|
tick-borne encephalitis |
tick-borne encephalitis vaccine |
added v2.3.1, removed after v2.8.2 |
| 78
|
tularemia vaccine |
tularemia vaccine |
added v2.3.1, removed after v2.8.2 |
| 79
|
vaccinia immune globulin |
vaccinia immune globulin |
added v2.3.1, removed after v2.8.2 |
| 80
|
VEE, live |
Venezuelan equine encephalitis, live, attenuated |
added v2.3.1, removed after v2.8.2 |
| 81
|
VEE, inactivated |
Venezuelan equine encephalitis, inactivated |
added v2.3.1, removed after v2.8.2 |
| 82
|
adenovirus, NOS1 |
adenovirus vaccine, NOS |
added v2.3.1, removed after v2.8.2 |
| 83
|
Hep A, ped/adol, 2 dose |
hepatitis A vaccine, pediatric/adolescent dosage, 2 dose schedule |
added v2.3.1, removed after v2.8.2 |
| 84
|
Hep A, ped/adol, 3 dose |
hepatitis A vaccine, pediatric/adolescent dosage, 3 dose schedule |
added v2.3.1, removed after v2.8.2 |
| 85
|
Hep A, NOS |
hepatitis A vaccine, NOS |
added v2.3.1, removed after v2.8.2 |
| 86
|
IG |
immune globulin, intramuscular |
added v2.3.1, removed after v2.8.2 |
| 87
|
IGIV |
immune globulin, intravenous |
added v2.3.1, removed after v2.8.2 |
| 88
|
influenza, NOS |
influenza virus vaccine, NOS |
added v2.3.1, removed after v2.8.2 |
| 89
|
polio, NOS |
poliovirus vaccine, NOS |
added v2.3.1, removed after v2.8.2 |
| 90
|
rabies, NOS |
rabies vaccine, NOS |
added v2.3.1, removed after v2.8.2 |
| 91
|
typhoid, NOS |
typhoid vaccine, NOS |
added v2.3.1, removed after v2.8.2 |
| 92
|
VEE, NOS |
Venezuelan equine encephalitis vaccine, NOS |
added v2.3.1, removed after v2.8.2 |
| 93
|
RSV-MAb |
respiratory syncytial virus monoclonal antibody (palivizumab), intramuscular |
added v2.4, removed after v2.8.2 |
| 94
|
MMRV |
measles, mumps, rubella, and varicella virus vaccine |
added v2.4, removed after v2.8.2 |
| 95
|
TST-OT tine test |
tuberculin skin test; old tuberculin, multipuncture device |
added v2.4, removed after v2.8.2 |
| 96
|
TST-PPD intradermal |
tuberculin skin test; purified protein derivative solution, intradermal |
added v2.4, removed after v2.8.2 |
| 97
|
TST-PPD tine test |
tuberculin skin test; purified protein derivative, multipuncture device |
added v2.4, removed after v2.8.2 |
| 98
|
TST, NOS |
tuberculin skin test; NOS |
added v2.4, removed after v2.8.2 |
| 99
|
RESERVED - do not use3 |
RESERVED - do not use |
added v2.4, removed after v2.8.2 |
| 998
|
no vaccine administered5 |
no vaccine administered |
added v2.5, removed after v2.8.2 |
| 999
|
unknown |
unknown vaccine or immune globulin |
added v2.4, removed after v2.8.2 |