Page Comparison

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• If CVX 94 (MMR-Varicella) is administered on the same day as another CVX code from the MMR group, then:
  
  • Evaluate CVX 94 (MMR-Varicella) as Valid and evaluate the other CVX code within the MMR group as Invalid with a reason code of DUPLICATE_SAME_DAY
  • Otherwise:
    
    • If CVX 03 (MMR) is administered on the same day as another CVX code from the MMR group EXCEPT for CVX 94 (MMR-Varicella), then:
      
      • Evaluate CVX 03 (MMR) as Valid and evaluate the other CVX code within the MMR group as Invalid with a reason code of DUPLICATE_SAME_DAY
• The following CVX codes can be administered on the same day. If administered on the same day, then they should be evaluated as Valid or Invalid based on minimum age / minimum interval from the last shot given on a previous day. They SHOULD NOT be evaluated as Invalid / DUPLICATE_SAME_DAY. 
  
  • 05 – Measles
  • 06 – Rubella
  • 07 – Mumps
• If one of the multiple component vaccines in the MMR group, i.e., CVX code 04 (Measles/Rubella) or CVX code 38 (Mumps/Rubella), is administered on the same day as one of the single component vaccines (i.e., CVX 05, CVX 06, or CVX 07), then each shot should be evaluated as Valid or Invalid based on minimum age/minimum interval from the last shot given on a previous day. They SHOULD NOT be evaluated as Invalid/DUPLICATE_SAME_DAY.  However, only one of the duplicate components should count toward series completion.
• If both of the multiple component vaccines in the MMR group, i.e., CVX code 04 (Measles/Rubella) or CVX code 38 (Mumps/Rubella), are administered on the same day, then they should be evaluated as Valid or Invalid based on minimum age / minimum interval from the last shot given on a previous day. They SHOULD NOT be evaluated as Invalid/DUPLICATE_SAME_DAY.  However, only one of the duplicate components should count toward series completion.

Pneumococcal Exception Rules

• If CVX 133 (PCV 13) and CVX 100 (PCV 7) are reported as administered on the same day, then:
  • If the shot was administered < 6/1/2010, then:
    
    • evaluate CVX 133 (PCV 13) as Invalid with a reason code of DUPLICATE_SAME_DAY
    • evaluate CVX 100 (PCV 7) as Valid
  • If the shot was administered >= 6/1/2010, then:
    
    • evaluate CVX 100 (PCV 7) as Invalid with a reason code of DUPLICATE_SAME_DAY
    • evaluate CVX 133 (PCV 13) as Valid

Meningococcal B Exception Rules

If CVX 162 (Meningococcal B FHbp, recombinant (Trumenba)) and CVX 163 (Meningococcal B 4C, OMV (Bexsero)) are reported as administered on the same day, then:

• evaluate CVX 162 (Meningococcal B FHbp, recombinant (Trumenba)) as Invalid with a reason code of DUPLICATE_SAME_DAY
• evaluate CVX 163 (Meningococcal B 4C, OMV (Bexsero)) as Valid
• recommend based on the MenB 4C 2-dose Series.  

However, if both Meningococcal B vaccines are administered on the same day, and one vaccine would complete a Meningococcal B series, then evaluate that vaccine as Valid and the other Meningococcal B vaccine as Invalid with a reason code of DUPLICATE_SAME_DAY.  (Example - CVX 162 (Trumenba) administered at 16 years old.  CVX 162 (Trumenba) and CVX 163 (Bexsero) administered on same day (at 16 years, 6 months old). Trumenba 2-dose series applies/Series Complete. CVX 163 would be evaluated as Invalid/DUPLICATE_SAME_DAY.)