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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
Completion Special Rule
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

114

Meningococcal MCV4P (Menactra)

 9 months - 4 days

136

Meningococcal MCV4O (Menveo)

 2 months - 4 days
32Meningococcal MPSV4 (Menomune)
 2 years - 4 days

108

Meningococcal, unspecified formulation

 2 years - 4 days4
147Meningococcal MCV4, unspecified formulation 9 months - 4 days4
203Meningococcal MenACWY-TT (MenQuadfi)2 years - 4 days


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CVX Code Specific Rules

CVX Code Absolute Minimum Age

  • 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

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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 SeriesInvalid CVX Code(s) per Dose for this Series

1

 MCV4 2-dose

 10 years

11 years11 years13 years + 4 weeks114, 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
MCV4 Exception Rule
MCV4 2-Dose Series Exception Rule

  • If the patient is >= 16 years and < 19 years at time of execution and has no doses on record, then only 1 dose is indicated at >= 16 years; the series is complete after the single dose is administered at >= 16 years and < 19 years. 

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