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Table of Contents

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CVX Code

Name

Absolute Minimum AgeAbsolute Maximum Age
15influenzaInfluenza, split

16influenzaInfluenza, whole

88influenzaInfluenza, unspecified formulation

111 (star)influenzaInfluenza, live, intranasal2 years - 4 days
135influenzaInfluenza, high dose, seasonal

140

influenzaInfluenza, seasonal, injectable, preservative free

141influenzaInfluenza, seasonal, injectable

144influenzaInfluenza, seasonal, intradermal, preservative free

149 (star)influenzaInfluenza, live, intranasal, quadrivalent2 years - 4 days
150influenzaInfluenza, injectable, quadrivalent, preservative free

151 (star)influenza nasalInfluenza, nasal, unspecified formulation2 years - 4 days
153influenzaInfluenza, injectable, MDCK, preservative free

155influenzaInfluenza, recombinant, injectable, preservative free

158Influenza-IIV4, IM (>3yrs)

161 Influenza, injectable, quadrivalent, preservative free, pediatric
3 years - 1 day
166 influenzaInfluenza, intradermal, quadrivalent, preservative free, injectable

168

Seasonal Influenza, seasonal trivalent influenza vaccine, adjuvanted, preservative free 



171

Influenza, injectable, Madin Darby Canine Kidney, preservative free, quadrivalent 



185influenzaInfluenza, recombinant, quadrivalent,injectable, preservative free6 months - 4 days
186Influenza, injectable, MDCK, quadrivalent6 months - 4 days


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CVX Code Specific Rules

  • The Live Vaccine Interval rule applies to the CVX codes indicated with a star ((star)). For rule details, see the Live Vaccine Interval rule on the General ICE Rules page.
  • If one of the CVX codes in the table above is administered below the absolute minimum age for that CVX code, then the Evaluation is Invalid and the reason code is BELOW_MINIMUM_AGE_VACCINE.
  • CVX 161 (Influenza, injectable, quadrivalent, preservative free, pediatric) will be evaluated as:
    • Invalid (due to insufficient antigen) if administered to a patient who is >= 3 years old.
    • Valid (as long as minimum interval/minimum age requirements are met, where applicable) if administered to a patient who is < 3 years old.

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Dose

Series Name

Absolute Minimum
 Age

Minimum Age

Routine
Age 

Valid CVX Code(s) per Dose for this SeriesInvalid CVX Code(s) per Dose for this Series

1

Influenza 2-dose

 6 months - 4 days

6 months

6 months

15, 16, 111, 140, 141, 144, 135, 88, 149, 150, 151, 153, 155, 161, 168, 171, 185, 186
N/A
2Influenza 2-doseN/AN/AN/A15, 16, 111, 140, 141, 144, 135, 88, 149, 150, 151, 153, 155, 161, 168, 171, 185, 186
N/A

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Doses

Series Name

Absolute Minimum Interval

Minimum Interval

Minimum Recommended Interval

Dose 1 to 2

Influenza 2-dose

24 days

28 days

28 days


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Series Special Rules 

  • There are no special rules for this series.

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Dose

Series Name

Absolute Minimum
 Age

Minimum Age

Routine
Age 

Valid CVX Code(s) per Dose for this SeriesInvalid CVX Code(s) per Dose for this Series

1

Influenza 1-dose

 6 months - 4 days1

6 months

6 months

15, 16, 111, 140, 141, 144, 135, 88, 149, 150, 151, 153, 155, 161, 168, 171, 185, 186
N/A

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