The DTP rules documented on this wiki page address 3 separate goals:
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General rules are not series-specific; general rules apply to the entire vaccine group.
Definition of "A dose of pertussis" A dose of pertussis is defined as one of the following:
Rules for Recommending at the CVX Code vs. Vaccine Group Level Within the Primary SeriesGenerally, ICE recommends at the group level rather than a specific CVX code; however, DTP vaccine group recommendations are at the CVX level. When recommending DTP as part of the 3-dose or 5-dose series, the rules below state which CVX code to recommend. For patients >=7 years of age, the rules below also include an override to the series routine recommended age.
Rules for Adolescent Tdap and Recurring Td (Once Primary Series is Complete)Rules for Adolescent Tdap (CVX 115)If the patient has completed the primary DTP series (3-dose or 5-dose), then see the "Recommendation Rules for Adolescent Tdap" below: Recommendation Rules for Adolescent Tdap
Evaluation Rules for Adolescent Tdap
Rules for Recurring Td (CVX 09)Once the patient has completed the primary DTP series (3-dose or 5-dose) and has met the requirements for the Adolescent Tdap, a Td (09) is needed every 10 years. Recommendation Rules for Recurring Td
Evaluation Rules for Recurring Td
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CVX Code | Name | Absolute Minimum Age |
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01 | DTP | |
09 | Td (adult), adsorbed | 7 yrs - 4 days1 |
20 | DTaP | |
28 | DT (pediatric) | |
106 | DTaP, 5 pertussis antigens | |
107 | DTaP, unspecified formulation | |
113 | Td (adult) preservative free | 7 yrs - 4 days1 |
115 | Tdap | 7 yrs - 4 days1 |
138 | Td (adult, not adsorbed) | 7 yrs - 4 days1 |
139 | Td (adult) NOS | 7 yrs - 4 days1 |
CVX Code Specific RulesCVX Code Absolute Minimum Age
CVX Code Minimum Interval Between Tdap/DTaP and Td/DTIf Tdap (CVX 115), DTaP (CVX 20, 106, or 107), or DTP (CVX 01) is given below the minimum interval from a Td (CVX 09, 113, 138, 139) or DT (CVX 28), but the shot meets the minimum age, then the Tdap/DTaP/DTP is evaluated as Invalid and the reason code is D_AND_T_INVALID/P_VALID (i.e., Diphtheria and tetanus components invalid due to minimum interval violation, pertussis component valid). |
Notes
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CVX Code | Vaccine Name | Component | Component |
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22 | DTP-Hib (Tetramune; OmniHib-DTP) | 01 | DTP |
50 | DTaP-Hib (TriHiBit) | 20 | DTaP |
102 | DTP-Hib-Hep B | 01 | DTP |
110 | DTaP-Hep B-IPV (Pediarix) | 106 | DTaP |
120 | DTaP-Hib-IPV (Pentacel) | 20 | DTaP |
130 | DTaP-IPV | 20 | DTaP |
132 | DTaP-IPV-Hib-Hep B, historical | 107 | DTaP NOS |
146 | DTaP, IPV, Hib, Hep B | 107 | DTaP NOS |
170 | DTaP-IPV-Hib | 20 | DTaP |
Series Name
Series Selection Rules
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The DTP 5-dose series is complete after 5 doses (4 primary doses and 1 booster dose), except when one of the DTP Vaccine Group 5-dose Series Exception Rules apply.
Vaccine Dose Parameters - Minimum and Routine Ages
Dose | Series Name | Absolute Minimum | Minimum Age | Routine | 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 | DTP 5-dose | 38 days | 42 days (6 weeks) | 2 months | 3 months + 4 weeks | 01, 20, 28, 106, 107, 115*, 09*, 113*, 138*, 139*, 22, 50, 102, 110, 120, 130, 132, 146 |
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2 | DTP 5-dose | 66 days | 70 days (10 weeks) | 4 months | 5 months + 4 weeks | 01, 20, 28, 106, 107, 115*, 09*, 113*, 138*, 139*, 22, 50, 102, 110, 120, 130, 132, 146 | |
3 | DTP 5-dose | 94 days | 98 days (14 weeks) | 6 months | 7 months + 4 weeks | 01, 20, 28, 106, 107, 115*, 09*, 113*, 138*, 139*, 22, 50, 102, 110, 120, 130, 132, 146 | |
4 | DTP 5-dose | 1 year - 4 days | 15 months | 15 months | 19 months + 4 weeks | 01, 20, 28, 106, 107, 115, 09, 113, 138, 139, 22, 50, 102, 110, 120, 130, 132, 146 | |
5 | DTP 5-dose | 4 years - 4 days | 4 years | 4 years | 7 years | 01, 20, 28, 106, 107, 115, 09, 113, 138, 139, 22, 50, 102, 110, 120, 130, 132, 146 |
*Note: Td/Tdap vaccines will be Evaluated as Invalid (with a reason code of INSUFFICIENT_ANTIGEN) if administered as dose 1, 2 or 3 to a patient who is < 7 years - 4 days old. See CVX Code Absolute Minimum Age Rules.
Vaccine Dose Parameters - Minimum and Recommended Intervals
Doses | Series Name | Absolute Minimum Interval | Minimum Interval | Minimum Recommended Interval | Latest Recommended Interval (less than) |
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Dose 1 to 2 | DTP 5-dose | 24 days | 28 days | 28 days | 13 weeks |
Dose 2 to 3 | DTP 5-dose | 24 days | 28 days | 28 days | 13 weeks |
Dose 3 to 4 | DTP 5-dose | 4 months | 6 months | 6 months | 13 months + 4 weeks |
Dose 4 to 5 | DTP 5-dose | 6 months - 4 days | 6 months | 6 months | 4 years + 4 weeks |
Series Special RulesRule for Recommending/Evaluating Next Dose From Invalid Tdap/TD Given Below Minimum Age for VaccineIf Tdap (CVX 115) or Td (CVX 09, 113, 138, 139) is given as target dose 1, 2 or 3 to a patient <7 years - 4 days old, then the invalid shot should be ignored when determining the recommended due date for the next target dose due and when evaluating the next shot based on the minimum interval for that target dose.
Six by Seven RuleIf a child is < 7 years of age and has received >= 6 shots from the DTP vaccine group, but has not yet completed the series, then the next dose is recommended at age 7 years; follow table rules for to determine the recommended interval. (Duplicate shots (or same day shots) do not count towards this rule.) 5-dose Series Exception RulesThe 5-dose series above applies unless: Exception 1: Series Complete with 3 Doses
Exception 2: Series Complete with 4 Doses
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Notes
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The DTP 3-dose series is complete after 3 doses.
Vaccine Dose Parameters - Minimum and Routine Ages
Dose | Series Name | Absolute Minimum | Minimum Age | Routine | 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 | DTP 3-dose | 7 years | 7 years | 7 years | 7 years | 01, 20, 28, 106, 107, 115, 09, 113, 138, 139, 22, 50, 102, 110, 120, 130, 132, 146 | |
2 | DTP 3-dose | N/A | 7 years | N/A | 7 years | 01, 20, 28, 106, 107, 115, 09, 113, 138, 139, 22, 50, 102, 110, 120, 130, 132, 146 | |
3 | DTP 3-dose | N/A | 7 years | N/A | 7 years | 01, 20, 28, 106, 107, 115, 09, 113, 138, 139, 22, 50, 102, 110, 120, 130, 132, 146 |
Vaccine Dose Parameters - Minimum and Recommended Intervals
Doses | Series Name | Absolute Minimum Interval | Minimum Interval | Minimum Recommended Interval | Latest Recommended Interval (less than) |
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Dose 1 to 2 | DTP 3-dose | 24 days | 28 days | 28 days | 4 weeks |
Dose 2 to 3 | DTP 3-dose | 6 months - 4 days | 6 months | 6 months | 6 months |
Series Special Rules3-dose Series Exception RulesThe 3-dose series above applies, unless:
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Notes
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