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Rules Based on Patient's Age
- If a patient is >= 19 years and did NOT complete the series before 19 years of age, then the Recommendation is Conditional and the reason code is HIGH_RISK.6
- Shots administered to a patient who is >= 19 years and < 22 years of age will continue to be evaluated (based on minimum intervals) and, if valid, will count toward completion of the series.
- If a patient's age at administration is >= 22 years and the patient did NOT complete the series before 22 years of age, then the Evaluation is Accepted and the reason code is ABOVE_REC_AGE_SERIES. (Shots administered to a patient >= 22 years of age do NOT count toward completion of the series; the series can NOT be completed once the patient is >= 22 years old.)
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| Completion Special Rule |
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| Completion Special Rule |
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| Series Completion Special Rule
- Once a patient completes the MCV4 2-dose series the Recommendation is Not Recommended and the reason code is COMPLETE_HIGH_RISK.5 (Meningococcal should never have a recommendation of Not Recommended/Complete.)
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CVX Code | Name | Absolute Minimum Age |
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114 | Meningococcal MCV4P (Menactra) | 9 months - 4 days |
136 | Meningococcal MCV4O (Menveo) | 2 months - 4 days |
32 | Meningococcal MPSV4 (Menomune)
| 2 years - 4 days |
108 | Meningococcal, unspecified formulation | 2 years - 4 days4 |
147 | Meningococcal MCV4, unspecified formulation | 9 months - 4 days4 |
203 | Meningococcal MenACWY-TT (MenQuadfi) | 2 years - 4 days |
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CVX Code Specific RulesCVX Code Absolute Minimum Age |
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This is a 2-dose series, except when the Meningococcal ACWY Vaccine Group MCV4 2-Dose Series Exception Rule applies. This series, however, will never have a forecast of "Complete"; see the Meningococcal ACWY Vaccine Group Series Completion Special Rule.
Vaccine Dose Parameters - Minimum and Routine Ages
Dose | Series Name | Absolute Minimum Age | Minimum Age | Routine Age | Latest Recommended Age (less than) | Valid CVX Code(s) per Dose for this Series | Invalid CVX Code(s) per Dose for this Series |
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1 | MCV4 2-dose | 10 years | 11 years | 11 years | 13 years + 4 weeks | 114, 136, 108, 147, 32, 203 | N/A |
2 | MCV4 2-dose | 16 years - 4 days | 16 years | 16 years
| 17 years + 4 weeks | 114, 136, 108, 147, 32, 203 | N/A |
Vaccine Dose Parameters - Minimum and Recommended Intervals
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Series Special Rules Shots Administered Below Series Recommended Age for Dose 1
If a shot of meningococcal is given below the series absolute minimum age (10 years), and above the CVX minimum age, then the Evaluation is accepted and the reason code is BELOW_REC_AGE_SERIES.3 Shots that are accepted do not count toward the series.
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| MCV4 Exception Rule |
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| MCV4 Exception Rule |
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| MCV4 2-Dose Series Exception Rule
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