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Commonly Administered Pediatric Vaccines

Effective 1/1/2016 Commonly Administered Pediatric Vaccines CPT Separately report the administration with Current Procedural Terminology (CPT ). # of Vaccine Product codes 90460 -90461 or 90471-90474 [Please see table below] Manufacturer Brand Components code Meningococcal recombinant protein and outer membrane vesicle vaccine, serogroup B, 2 dose Novartis Bexsero 90620 1. schedule, for IM use 90621 Meningococcal recombinant lipoprotein vaccine, serogroup B, 3 dose schedule, for IM use Pfizer Trumenba 1. Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, for intradermal use Sanofi Pasteur Fluzone Intradermal 90630 1. Quadrivalent Hepatitis A vaccine(Hep A), Pediatric /adolescent dosage, 2 dose, for IM use GlaxoSmithKline HAVRIX.

Jan 01, 2016 · codes 90460-90461 or 90471-90474 [Please see table below] Manufacturer Brand # of Vaccine Components 90620 Meningococcal recombinant protein and outer membrane vesicle vaccine, serogroup B, 2 dose schedule, for IM use Novartis Bexsero 1

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