Data Exchange Requirements
HL7 Codesets
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| Value | Description |
|---|---|
| 90281 | Immune globulin (IG), human, for intramuscular use |
| 90283 | Immune globulin (IGIV), human, for intravenous use |
| 90287 | Botulinum antitoxin, equine, any route |
| 90291 | Cytomegalovirus immune globulin (CMV-IGIV), human, for intravenous use |
| 90296 | Diphtheria antitoxin, equine, any route |
| 90371 | Hepatitis B immune globulin (HBIG), human, for intramuscular use |
| 90375 | Rabies immune globulin (RIG), human, for intramuscular and/or subcutaneous use |
| 90376 | Rabies immune globulin, heat-treated (RIG-HT), human, for intramuscular and/or subcutaneous use |
| 90378 | Respiratory syncytial virus immune globulin (RSV-IgIM), for intramuscular use, 50 mg, each |
| 90379 | Respiratory syncytial virus immune globulin (RSV-IGIV), human, for intravenous use |
| 90389 | Tetanus immune globulin (TIG), human, for intramuscular use |
| 90393 | Vaccinia immune globulin, human, for intramuscular use |
| 90396 | Varicella-zoster immune globulin, human, for intramuscular use |
| 90470 | H1N1 immunization administration (intramuscular, intranasal), including counseling when performed |
| 90476 | Adenovirus vaccine, type 4, live, for oral use |
| 90477 | Adenovirus vaccine, type 7, live, for oral use |
| 90581 | Anthrax vaccine, for subcutaneous use |
| 90585 | Bacillus Calmette-Guerin vaccine (BCG) for tuberculosis, live, for percutaneous use |
| 90620 | Meningococcal recombinant - protein and outer membrane - vesicle vaccine,serogroup B, 2 - dose schedule, for intramuscular |
| 90621 | Meningococcal recombinant - lipoprotein vaccine, serogroup B,3 - dose schedule, for intramuscular use |
| 90630 | Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, for intradermal use |
| 90632 | Hepatitis A vaccine, adult dosage, for intramuscular use |
| 90633 | Hepatitis A vaccine, pediatric/adolescent dosage-2 dose schedule, for intramuscular use |
| 90634 | Hepatitis A vaccine, pediatric/adolescent dosage-3 dose schedule, for intramuscular use |
| 90636 | Hepatitis A and hepatitis B (HepA-HepB), adult dosage, for intramuscular use |
| 90644 | Meningococcal conjugate vaccine, serogroups C & Y and Hemophilus influenza B vaccine (MenCY-Hib) |
| 90645 | Haemophilus influenza b vaccine (Hib), HbOC conjugate (4 dose schedule), for intramuscular use |
| 90646 | Haemophilus influenza b vaccine (Hib), PRP-D conjugate, for booster use only, intramuscular use |
| 90647 | Haemophilus influenza b vaccine (Hib), PRP-OMP conjugate (3 dose schedule), for intramuscular use |
| 90648 | Haemophilus influenza b vaccine (Hib), PRP-T conjugate (4 dose schedule), for intramuscular use |
| 90649 | Human Papilloma virus (HPV) vaccine, types 6, 11, 16, 18 (quadrivalent) 3 dose schedule, for intramuscular use |
| 90650 | Human Papilloma virus (HPV) vaccine, types 16, 18, bivalent, 3 dose schedule, for intramuscular use |
| 90651 | Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (HPV) |
| 90654 | Influenza virus vaccine, split virus, preservative free, for intradermal use |
| 90655 | Influenza virus vaccine, split virus, preservative free, for children 6-35 months of age, for intramuscular use |
| 90656 | Influenza virus vaccine, split virus, preservative free, for use in individuals 3 years of age and above, for intramuscular use |
| 90657 | Influenza virus vaccine, split virus, for children 6-35 months of age, for intramuscular use |
| 90658 | Influenza virus vaccine, split virus, for use in individuals 3 years of age and above, for intramuscular use |
| 90659 | Influenza virus vaccine, whole virus, for intramuscular or jet injection use |
| 90660 | Influenza virus vaccine, live, for intranasal use |
| 90661 | Influenza virus vaccine, derived from cell cultures, subunit, preservative and antibiotic free, for intramuscular use |
| 90662 | Influenza virus vaccine, split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use |
| 90663 | Influenza virus vaccine, pandemic formulation, H1N1 |
| 90664 | Influenza virus vaccine, pandemic formulation, live, for intranasal use |
| 90665 | Lyme disease vaccine, adult dosage, for intramuscular use |
| 90666 | Influenza virus vaccine, pandemic formulation, split-virus, preservative free, for intramuscular use |
| 90668 | Influenza virus vaccine, pandemic formulation, split-virus, for intramuscular use |
| 90669 | Pneumococcal conjugate vaccine, polyvalent, for children under five years, for intramuscular use |
| 90670 | Pneumococcal conjugate vaccine, 13 valent, for intramuscular use |
| 90672 | Influenza virus vaccine, quadrivalent (LAIV), live, intranasal use |
| 90673 | Influenza virus vaccine, trivalent, derived from recombinant DNA (RIV3), hemagglutnin (HA) protein only, preservative and antibiotic free, for intramuscular use |
| 90675 | Rabies vaccine, for intramuscular use |
| 90676 | Rabies vaccine, for intradermal use |
| 90680 | Rotavirus vaccine, pentavalent, 3 dose schedule, live, for oral use |
| 90681 | Rotavirus vaccine, human, attenuated, 2 dose schedule, live, for oral use |
| 90685 | Influenza virus vaccine, quadrivalent, split virus, preservative free, when administered to children 6-35 months of age, for intramuscular us |
| 90686 | Influenza virus vaccine, quadrivalent, split virus, preservative free, when administered to individuals 3 years of age and older, for intramuscular use |
| 90687 | Influenza virus vaccine, quadrivalent, split virus, when administered to children 6-35 months of age, for intramuscular use |
| 90688 | Influenza virus vaccine, quadrivalent, split virus, when administered to individuals 3 years of age and older, for intramuscular use |
| 90690 | Typhoid vaccine, live, oral |
| 90691 | Typhoid vaccine, Vi capsular polysaccharide (ViCPs), for intramuscular use |
| 90692 | Typhoid vaccine, heat- and phenol-inactivated (H-P), for subcutaneous or intradermal use |
| 90693 | Typhoid vaccine, acetone-killed, dried (AKD), for subcutaneous use (U.S. military) |
| 90696 | Diphtheria, tetanus toxoids, acellular pertussis vaccine and poliovirus vaccine, inactivated (DTaP-IPV), when administered to children 4 years through 6 years of age, for intramuscular use |
| 90698 | Diphtheria, tetanus toxoids, and acellular pertussis vaccine, haemophilus influenza Type B, and poliovirus vaccine, inactivated (DTaP - Hib - IPV), for intramuscular use |
| 90700 | Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), for use in individuals younger than seven years, for intramuscular use |
| 90701 | Diphtheria, tetanus toxoids, and whole cell pertussis vaccine (DTP), for intramuscular use |
| 90702 | Diphtheria and tetanus toxoids (DT) adsorbed for use in individuals younger than seven years, for intramuscular use |
| 90703 | Tetanus toxoid adsorbed, for intramuscular use |
| 90704 | Mumps virus vaccine, live, for subcutaneous use |
| 90705 | Measles virus vaccine, live, for subcutaneous use |
| 90706 | Rubella virus vaccine, live, for subcutaneous use |
| 90707 | Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use |
| 90708 | Measles and rubella virus vaccine, live, for subcutaneous use |
| 90710 | Measles, mumps, rubella, and varicella vaccine (MMRV), live, for subcutaneous use |
| 90712 | Poliovirus vaccine, (any type(s)) (OPV), live, for oral use |
| 90713 | Poliovirus vaccine, inactivated, (IPV), for subcutaneous or intramuscular use |
| 90714 | Tetanus and diphtheria toxoids (Td) adsorbed, preservative free, for use in individuals seven years or older, for intramuscular use |
| 90715 | Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), for use in individuals 7 years or older, for intramuscular use |
| 90716 | Varicella virus vaccine, live, for subcutaneous use |
| 90717 | Yellow fever vaccine, live, for subcutaneous use |
| 90718 | Tetanus and diphtheria toxoids (Td) adsorbed for use in individuals seven years or older, for intramuscular use |
| 90720 | Diphtheria, tetanus toxoids, and whole cell pertussis vaccine and Hemophilus influenza B vaccine (DTP-Hib), for intramuscular use |
| 90721 | Diphtheria, tetanus toxoids, and acellular pertussis vaccine and Hemophilus influenza B vaccine (DTaP-Hib), for intramuscular use |
| 90723 | TDiphtheria, tetanus toxoids, acellular pertussis vaccine, Hepatitis B, and poliovirus vaccine, inactivated (DTaP-HepB-IPV), for intramuscular use |
| 90724 | Influenza virus vaccine |
| 90725 | Cholera vaccine for injectable use |
| 90726 | Rabies vaccine |
| 90727 | Plague vaccine, for intramuscular use |
| 90728 | BCG vaccine |
| 90730 | Hepatitis A vaccine |
| 90731 | Hepatitis B vaccine |
| 90732 | Pneumococcal polysaccharide vaccine, 23-valent, adult or immunosuppressed patient dosage, for use in individuals 2 years or older, for subcutaneous or intramuscular use |
| 90733 | Meningococcal polysaccharide vaccine (any group(s)), for subcutaneous use |
| 90734 | Meningococcal conjugate vaccine, serogroups A, C, Y and W-135 (tetravalent), for intramuscular use |
| 90735 | Japanese encephalitis virus vaccine, for subcutaneous use |
| 90736 | Zoster (shingles) vaccine, live, for subcutaneous injection |
| 90737 | Hemophilus influenza B |
| 90738 | Japanese encephalitis virus vaccine, inactivated, for intramuscular use |
| 90740 | Hepatitis B vaccine, dialysis or immunosuppressed patient dosage (3 dose schedule), for intramuscular use |
| 90741 | Immunization, passive; immune serum globulin, human (ISG) |
| 90743 | Hepatitis B vaccine, adolescent (2 dose schedule), for intramuscular use |
| 90744 | Hepatitis B vaccine, pediatric/adolescent dosage (3 dose schedule), for intramuscular use |
| 90745 | Hepatitis B vaccine, adolescent/high risk infant dosage, for intramuscular use |
| 90746 | Hepatitis B vaccine, adult dosage, for intramuscular use |
| 90747 | Hepatitis B vaccine, dialysis or immunosuppressed patient dosage (4 dose schedule), for intramuscular use |
| 90748 | Hepatitis B and Hemophilus influenza b vaccine (HepB-Hib), for intramuscular use |