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CVX Code Short Description

998 no vaccine administered

99 RESERVED - do not use

999 unknown

143 Adenovirus types 4 and 7

4 adenovirus! type 4

adenovirus! type 78" adenovirus! unspeci#ed $ormu%ation

"4 ant&ra'

19 ()*

"7 +otu%inum antito'in

", c&o%era

"9 )V.*

, den/ue $ever

1" dip&t&eria antito'in

"8 D0 pediatric2

" D0a1, D0a! pertussis anti/ens

17 D0a! unspeci#ed $ormu%ation

14, D0a!.V!5i+!5ep(

11 D0a-5ep (-.V

D0a-5i+

1" D0a-5i+-.V

13 D0a-.V

13" D0a-.V-5.(-5E (! &istorica%

1 D0

"" D0-5i+

1" D0-5i+-5ep (

7 &antavirus

3 5(.*

" 5ep A! adu%t

83 5ep A! ped6ado%! " dose

84 5ep A! ped6ado%! 3 dose

31 5ep A! pediatric! unspeci#ed $ormu%ation

8 5ep A! unspeci#ed $ormu%ation

14 5ep A-5ep (

8 5ep (! ado%escent or pediatric

4" 5ep (! ado%escent6&i/& risk in$ant

43 5ep (! adu%t

44 5ep (! dia%ysis

4 5ep (! unspeci#ed $ormu%ation

8 5ep )

9 5ep E

, &erpes simp%e' "

47 5i+ 5+)2

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4, 5i+ R-D2

49 5i+ R-2

48 5i+ R-02

17 5i+! unspeci#ed $ormu%ation

1 5i+-5ep (

,1 5.V

118 5V! +iva%ent," 5V! uadriva%ent

137 5V! unspeci#ed $ormu%ation

8, .*

14 .*! unspeci#ed $ormu%ation

87 .*.V

1"3 inuen:a! 5;1-1"3

13 .nuen:a! &i/& dose seasona%

111 inuen:a! %ive! intranasa%

141 .nuen:a! seasona%! in<ecta+%e

14 .nuen:a! seasona%! in<ecta+%e! preservative $ree144 inuen:a! seasona%! intraderma%! preservative $ree

1 inuen:a! sp%it inc%= puri#ed sur$ace anti/en2

88 inuen:a! unspeci#ed $ormu%ation

1, inuen:a! w&o%e

1 .V

134 >apanese Encep&a%itis .

39 >apanese encep&a%itis S)

1"9 >apanese Encep&a%itis! unspeci#ed $ormu%ation

,3 >unin virus

,4 %eis&maniasis

, %eprosy

,, ?yme disease

4 6R

,7 ma%aria

meas%es

,8 me%anoma

13 menin/ococca% ) con<u/ate

147 menin/ococca% )V4! unspeci#ed $ormu%ation

13, enin/ococca% )V4

114 menin/ococca% )V4

3" menin/ococca% SV4

18 menin/ococca%! unspeci#ed $ormu%ation

3 R

94 RV

7 mumps

1"7 ;ove% inuen:a-51;1-9

1"8 ;ove% .nuen:a-51;1-9! a%% $ormu%ations

1" ;ove% .nuen:a-51;1-9! nasa%

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1", ;ove% inuen:a-51;1-9! preservative-$ree

" V

,9 parainuen:a-3

11 pertussis

"3 p%a/ue

133 neumococca% con<u/ate )V 13

1 pneumococca% con<u/ate )V 733 pneumococca% po%ysacc&aride V"3

19 pneumococca%! unspeci#ed $ormu%ation

89 po%io! unspeci#ed $ormu%ation

7 @ $ever

4 ra+ies! intraderma% in<ection

18 ra+ies! intramuscu%ar in<ection

9 ra+ies! unspeci#ed $ormu%ation

7" r&eumatic $ever

73 Ri$t Va%%ey $ever

34 R.*119 rotavirus! monova%ent

11, rotavirus! pentava%ent

74 rotavirus! tetrava%ent

1"" rotavirus! unspeci#ed $ormu%ation

71 RSV-.*.V

93 RSV-A+

14 RSV-A+ new2

, ru+e%%a

38 ru+e%%a6mumps

7, Stap&y%ococcus +acterio %ysate

138 0d adu%t2

113 0d adu%t2 preservative $ree

9 0d adu%t2! adsor+ed

139 0dadu%t2 unspeci#ed $ormu%ation

11 0dap

3 tetanus to'oid! adsor+ed

14" tetanus to'oid! not adsor+ed

11" tetanus to'oid! unspeci#ed $ormu%ation

77 tick-+orne encep&a%itis

13 0.*

98 0S0! unspeci#ed $ormu%ation

9 0S0-0 tine test

9, 0S0-D intraderma%

97 0S0-D tine test

78 tu%aremia vaccine

" typ&oid! ora%

41 typ&oid! parentera%

3 typ&oid! parentera%! AD B=S= mi%itary2

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91 typ&oid! unspeci#ed $ormu%ation

11 typ&oid! Vi)s

131 typ&us! &istorica%

7 vaccinia sma%%po'2

1 vaccinia sma%%po'2 di%uted

79 vaccinia immune /%o+u%in

"1 varice%%a81 VEE! inactivated

8 VEE! %ive

9" VEE! unspeci#ed $ormu%ation

3, VC.*

117 VC.* .;D2

37 ye%%ow $ever

1"1 :oster

7/25/2019 cvx codes

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Full Vaccine Name

no vaccine administered

RESERVED - do not use

unknown vaccine or immune /%o+u%in

Adenovirus! type 4 and type 7! %ive! ora%

adenovirus vaccine! type 4! %ive! ora%

adenovirus vaccine! type 7! %ive! ora%adenovirus vaccine! unspeci#ed $ormu%ation

ant&ra' vaccine

(aci%%us )a%mette-*uerin vaccine

+otu%inum antito'in

c&o%era vaccine

cytome/a%ovirus immune /%o+u%in! intravenous

den/ue $ever vaccine

dip&t&eria antito'in

dip&t&eria and tetanus to'oids! adsor+ed $or pediatric use

dip&t&eria! tetanus to'oids and ace%%u%ar pertussis vaccine

D0a-&epatitis ( and po%iovirus vaccine

D0a-5aemop&i%us inuen:ae type + con<u/ate vaccine

dip&t&eria! tetanus to'oids and pertussis vaccine

D0-5aemop&i%us inuen:ae type + con<u/ate vaccine

&antavirus vaccine

&epatitis ( immune /%o+u%in

&epatitis A vaccine! adu%t dosa/e

&epatitis A vaccine! pediatric dosa/e! unspeci#ed $ormu%ation

&epatitis A vaccine! unspeci#ed $ormu%ation

&epatitis A and &epatitis ( vaccine

&epatitis ( vaccine! pediatric or pediatric6ado%escent dosa/e

&epatitis ( vaccine! ado%escent6&i/& risk in$ant dosa/e

&epatitis ( vaccine! adu%t dosa/e

&epatitis ( vaccine! dia%ysis patient dosa/e

&epatitis ( vaccine! unspeci#ed $ormu%ation

&epatitis ) vaccine

&epatitis E vaccine

&erpes simp%e' virus! type " vaccine

5aemop&i%us inuen:ae type + vaccine! 5+) con<u/ate

dip&t&eria! tetanus to'oids and ace%%u%ar pertussis vaccine! pertussis anti/ensdip&t&eria! tetanus to'oids and ace%%u%ar pertussis vaccine!unspeci#ed $ormu%ation.nactivated o%iovirus! 5aemop&i%us + )on<u/ate enin/ococca%uter em+rane rotein )omp%e'2! and 5epatitis (

dip&t&eria! tetanus to'oids and ace%%u%ar pertussis vaccine!5aemop&i%us inuen:ae type + con<u/ate! and po%iovirusvaccine! inactivated D0a-5i+-.V2Dip&t&eria! tetanus to'oids and ace%%u%ar pertussis vaccine! andpo%iovirus vaccine! inactivated  dip&t&eria! tetanus to'oids and ace%%u%ar pertussis!  po%iovirus! inactivated!  5aemop&i%us inuen:ae type + con<u/ate!

D0- 5aemop&i%us inuen:ae type + con<u/ate and &epatitis +vaccine

&epatitis A vaccine! pediatric6ado%escent dosa/e! " dosesc&edu%e&epatitis A vaccine! pediatric6ado%escent dosa/e! 3 dosesc&edu%e

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5aemop&i%us inuen:ae type + vaccine! R-D con<u/ate

5aemop&i%us inuen:ae type + vaccine! R- con<u/ate

5aemop&i%us inuen:ae type + vaccine! R-0 con<u/ate

&uman immunode#ciency virus vaccine

&uman papi%%oma virus vaccine! +iva%ent&uman papi%%oma virus vaccine! uadriva%ent

5V! unspeci#ed $ormu%ation

immune /%o+u%in! intramuscu%ar

immune /%o+u%in! unspeci#ed $ormu%ation

immune /%o+u%in! intravenous

inuen:a! &i/& dose seasona%! preservative-$ree

inuen:a virus vaccine! %ive! attenuated! $or intranasa% use

.nuen:a! seasona%! in<ecta+%e

.nuen:a! seasona%! in<ecta+%e! preservative $reeseasona% inuen:a! intraderma%! preservative $ree

inuen:a virus vaccine! unspeci#ed $ormu%ation

inuen:a virus vaccine! w&o%e virus

po%iovirus vaccine! inactivated

 >apanese Encep&a%itis vaccine $or intramuscu%ar administration

 >apanese Encep&a%itis Vaccine S)

 >apanese Encep&a%itis vaccine! unspeci#ed $ormu%ation

 >unin virus vaccine

%eis&maniasis vaccine

%eprosy vaccine

?yme disease vaccine

meas%es and ru+e%%a virus vaccine

ma%aria vaccine

meas%es virus vaccine

me%anoma vaccine

menin/ococca% ) con<u/ate vaccine

menin/ococca% po%ysacc&aride vaccine SV42

menin/ococca% vaccine! unspeci#ed $ormu%ation

meas%es! mumps and ru+e%%a virus vaccine

meas%es! mumps! ru+e%%a! and varice%%a virus vaccine

mumps virus vaccine

;ove% inuen:a-51;1-9! in<ecta+%e

;ove% inuen:a-51;1-9! a%% $ormu%ations

;ove% .nuen:a-51;1-9! %ive virus $or nasa% administration

5aemop&i%us inuen:ae type + vaccine! con<u/ate unspeci#ed$ormu%ation5aemop&i%us inuen:ae type + con<u/ate and 5epatitis (vaccine

inuen:a virus vaccine! 5;1! A6Vietnam61"36"4 nationa%stockpi%e2

inuen:a virus vaccine! sp%it virus inc%= puri#ed sur$aceanti/en2-retired )DE

enin/ococca%! )V4! unspeci#ed $ormu%ation/roups A! )! and F-132menin/ococca% o%i/osacc&aride /roups A! )! and F-132dip&t&eria to'oid con<u/ate vaccine )V42menin/ococca% po%ysacc&aride /roups A! )! and F-132

dip&t&eria to'oid con<u/ate vaccine )V42

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;ove% inuen:a-51;1-9! preservative-$ree! in<ecta+%e

po%iovirus vaccine! %ive! ora%

parainuen:a-3 virus vaccine

pertussis vaccine

p%a/ue vaccine

pneumococca% con<u/ate vaccine! 13 va%ent

pneumococca% con<u/ate vaccine! 7 va%entpneumococca% po%ysacc&aride vaccine! "3 va%ent

pneumococca% vaccine! unspeci#ed $ormu%ation

po%iovirus vaccine! unspeci#ed $ormu%ation

@ $ever vaccine

ra+ies vaccine! $or intraderma% in<ection

ra+ies vaccine! $or intramuscu%ar in<ection

ra+ies vaccine! unspeci#ed $ormu%ation

r&eumatic $ever vaccine

Ri$t Va%%ey $ever vaccine

ra+ies immune /%o+u%inrotavirus! %ive! monova%ent vaccine

rotavirus! %ive! pentava%ent vaccine

rotavirus! %ive! tetrava%ent vaccine

rotavirus vaccine! unspeci#ed $ormu%ation

respiratory syncytia% virus immune /%o+u%in! intravenous

ru+e%%a virus vaccine

ru+e%%a and mumps virus vaccine

Stap&y%ococcus +acteriop&a/e %ysate

tetanus and dip&t&eria to'oids! not adsor+ed! $or adu%t use

tetanus and dip&t&eria to'oids! adsor+ed! $or adu%t use

 0dadu%t2 unspeci#ed $ormu%ation

tetanus to'oid! adsor+ed

tetanus to'oid! not adsor+ed

tetanus to'oid! unspeci#ed $ormu%ation

tick-+orne encep&a%itis vaccine

tetanus immune /%o+u%in

tu+ercu%in skin testG unspeci#ed $ormu%ation

tu+ercu%in skin testG o%d tu+ercu%in! mu%tipuncture device

tu%aremia vaccine

typ&oid vaccine! %ive! ora%

typ&oid vaccine! parentera%! ot&er t&an acetone-ki%%ed! dried

typ&oid vaccine! parentera%! acetone-ki%%ed! dried B=S= mi%itary2

respiratory syncytia% virus monoc%ona% anti+ody pa%ivi:uma+2!intramuscu%arrespiratory syncytia% virus monoc%ona% anti+ody motavi:uma+2!intramuscu%ar

tetanus and dip&t&eria to'oids! adsor+ed! preservative $ree! $oradu%t use

tetanus to'oid! reduced dip&t&eria to'oid! and ace%%u%arpertussis vaccine! adsor+ed

tu+ercu%in skin testG puri#ed protein derivative so%ution!intraderma%tu+ercu%in skin testG puri#ed protein derivative! mu%tipuncturedevice

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typ&oid vaccine! unspeci#ed $ormu%ation

typ&oid Vi capsu%ar po%ysacc&aride vaccine

5istorica% record o$ a typ&us vaccination

vaccinia sma%%po'2 vaccine

vaccinia sma%%po'2 vaccine! di%uted

vaccinia immune /%o+u%in

varice%%a virus vaccineVene:ue%an euine encep&a%itis! inactivated

Vene:ue%an euine encep&a%itis! %ive! attenuated

Vene:ue%an euine encep&a%itis vaccine! unspeci#ed $ormu%ation

varice%%a :oster immune /%o+u%in

varice%%a :oster immune /%o+u%in .nvesti/ationa% ;ew Dru/2

ye%%ow $ever vaccine

:oster vaccine! %ive

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Note VaccineStatus internalID nonvaccine

.nactive 137 1

.nactive 139

.nactive 138

Active 1,1

.nactive 1

.nactive "

.nactive 3

Active 4

Active

Active ,

.nactive 7

Active 8

;ever Active 9

Active 1

Active 11

Active 1"Active 13

.nactive 14

endin/ 1,4

Active 1

Active 1,

Active 17

Active 19

.nactive 148

.nactive "1

.nactive ""

.nactive "3

;ever Active "4

Active 31

Active "

Active ",

.nactive "7

.nactive "8

.nactive "9

Active 3

Active 3"

.nactive 33

Active 34

Active 3

.nactive 3,

;ever Active 37

;ever Active 38

;ever Active 39

.nactive 41

contain in$ormation a+out avaccine administration= An)ode 99 wi%% not +e used int&is ta+%e to avoid con$usionwit& code 999=

 0&is )VH code &as %itt%euti%ity and s&ou%d rare%y +eused= 0&is vaccine is administeredas " ta+%ets=

unknown $or e'amp%e!w&en recordin/ a

w&en $ormu%ation isunknown $or e'amp%e!w&en recordin/ a D0a;ote t&at t&is vaccine isdiIerent $rom )VH 13"=

 0&is is not t&e same as )VH14,! 5e'ava%ent vaccine=

inactive and s&ou%d not +eused! e'cept to record&istoric vaccinations wit&$ormu%ation is unknown! use)VH 8= 0&ere is on%y onew&en $ormu%ation isunknown $or e'amp%e!w&en recordin/ a 5epAused $or t&e "-dose &epatitis

( sc&edu%e $or ado%escentsdosa/e= )ode 4" s&ou%d on%y+e used to record &istorica%records= Jor currenterckKs Recom+iva' 5(Ladu%t $ormu%ation= Bse code43 $or t&e "-dose= 0&is codew&en $ormu%ation isunknown $or e'amp%e!w&en recordin/ a 5ep(

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.nactive 4

Active 43

Active 4"

.nactive 44

Active 4

;ever Active 4,

Active 47Active 49

.nactive 144

Active 1

.nactive 3

Active "

.nactive 8

Active 14,

Seasona% .nuen:a Active 4

Active 19

Active 1,Active 1,"

.nactive

.nactive 7

.nactive ,

Active ,

Active 14"

Active ,3

.nactive 17

;ever Active ,4

;ever Active ,

;ever Active ,,

.nactive ,7

.nactive ,9

;ever Active 71

.nactive 7"

;ever Active 73

.nactive 7

.nactive 1,

Active 14

Active 7,

Active 74

.nactive 77

Active ,8

Active 7

Active 79

.nactive 1"

.nactive 149

.nactive 1

w&en $ormu%ation isunknown $or e'amp%e!w&en recordin/ a 5V

 0&is is one o$ two codesrep%acin/ )VH 1! w&ic& is+ein/ retired=

 0&is vaccine code is one o$

two w&ic& rep%ace )VH 1!inuen:a! sp%it virus=immuni:ation records= .tinc%uded +ot& preservativew&en $ormu%ation isunknown $or e'amp%e!w&en recordin/ a .nuen:a

w&en $ormu%ation isunknown $or e'amp%e!w&en recordin/ a >E

$ormu%ation is unknowno%i/osacc&aride vs

unknown $or e'amp%e!w&en recordin/ a

.nuen:a-9 immuni:ations$or reportin/ to )RA= .t

7/25/2019 cvx codes

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.nactive 11

.nactive ,1

.nactive 8

.nactive 81

Active 8"

Active 141

Active 84Active 83

.nactive 8

.nactive ,"

;ever Active 8,

Active 88

Active 87

.nactive 89

;ever Active 9

;ever Active 91

Active 9"Active 93

Active 97

.nactive 99

.nactive 9

Active 11

Active 1"

endin/ 1,3

Active 13

.nactive 14

.nactive 1

Active 14

Active 1,

Active 17

.nactive 1

Active 18

Active 11

Active 1,

.nactive 111

.nactive 11"

Active 113

 0( Skin test is not vaccine= .nactive 117

 0( Skin test is not vaccine= .nactive 114

 0( Skin test is not vaccine= .nactive 11

 0( Skin test is not vaccine= .nactive 11,

.nactive 118

Active 1"

Active 1"1

Active 1""

unknown $or e'amp%e!w&en recordin/ aw&en $ormu%ation isunknown $or e'amp%e!w&en recordin/ a po%io

w&en $ormu%ation isunknown $or e'amp%e!w&en recordin/ a ra+ies

;ote t&at t&is 0d is notadsor+ed=;ote t&at t&is vaccine name&as c&an/ed= See a%so 0dadu%t2= .t is not adsor+ed=w&en $ormu%ation isunknown $or e'amp%e!w&en recordin/ a 0d

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.nactive 119

Active 1"3

.nactive 147

Active 1"4

.nactive 1"

Active 1",

Active 1"7.nactive 1"8

.nactive 1"9

.nactive 13

Active 131

.nactive 13"

Active 134

Active 13

w&en $ormu%ation isunknown $or e'amp%e!w&en recordin/ a typ&oid

w&en $ormu%ation isunknown $or e'amp%e!w&en recordin/ a VEE

7/25/2019 cvx codes

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update_date

"8-ay-1

"8-ay-1

"8-ay-1

"-ar-11

"8-ay-1

"8-ay-13-Sep-1

"8-ay-1

"8-ay-1

"8-ay-1

"8-ay-1

"8-ay-1

"8-ay-1

"8-ay-1

"8-ay-1

"8-ay-1"8-ay-1

3-Sep-1

31-Au/-11

"8-ay-1

"8-ay-1

"8-ay-1

"8-ay-1

"8-ay-1

"8-ay-1

"8-ay-1

"8-ay-1

"8-ay-1

"8-ay-1

"8-ay-1

"8-ay-1

"8-ay-1

3-Sep-1

3-Sep-1

"8-ay-1

"8-ay-1

"8-ay-1

"8-ay-1

"8-ay-1

3-Sep-1

"8-ay-1

"8-ay-1

"8-ay-1

"8-ay-1

7/25/2019 cvx codes

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"8-ay-1

"8-ay-1

"8-ay-1

3-Sep-1

"8-ay-1

"8-ay-1

"8-ay-1"8-ay-1

3-Sep-1

"8-ay-1

3-Sep-1

"8-ay-1

"8-ay-1

"8-ay-1

"8-ay-1

3-Sep-1

3-Sep-11,->un-11

3-Sep-1

3-Sep-1

"8-ay-1

"8-ay-1

"8-ay-1

"8-ay-1

3-Sep-1

"8-ay-1

"8-ay-1

"8-ay-1

"8-ay-1

"8-ay-1

"8-ay-1

31-Au/-1

"8-ay-1

"8-ay-1

8-Je+-1"

"8-ay-1

"8-ay-1

"8-ay-1

3-Sep-1

"8-ay-1

"8-ay-1

"8-ay-1

"8-Au/-1

"8-Au/-1

"8-Au/-1

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"8-Au/-1

"8-ay-1

"8-ay-1

"8-ay-1

"8-ay-1

"8-ay-1

"8-ay-1"8-ay-1

3-Sep-1

3-Sep-1

"8-ay-1

"8-ay-1

"8-ay-1

3-Sep-1

"8-ay-1

"8-ay-1

"8-ay-1"8-ay-1

"8-ay-1

"8-ay-1

3-Sep-1

"8-ay-1

"8-ay-1

31-Au/-11

"8-ay-1

"8-ay-1

"8-ay-1

3-Sep-1

3-Sep-1

"-Au/-1

3-Sep-1

"8-ay-1

14-Je+-11

14-Je+-11

3-Sep-1

"8-ay-1

"8-ay-1

3-Sep-1

"8-ay-1

"8-ay-1

"8-ay-1

"8-ay-1

"8-ay-1

"8-ay-1

"8-ay-1

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3-Sep-1

"8-ay-1

"8-ay-1

"8-ay-1

"8-ay-1

"8-ay-1

"8-ay-1"8-ay-1

"8-ay-1

3-Sep-1

"8-ay-1

"8-ay-1

"8-ay-1

"8-ay-1