MIIC Vaccines and Vaccine Codes

Vaccine codes accepted by the Minnesota Immunization Information Connection (MIIC) immunization registry for electronic data exchange. Includes trade names, descriptions, CPT codes, and CVX codes.

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What's new
Active vaccine codes
Inactive vaccine codes
Manufacturer codes

What's new

Recent additions and changes to MIIC vaccines and vaccine codes:

Recently added manufacturer codes:

    • Grifols - GRF (manufacturer of several hyper immune globulin products)
    • ID Biomedical - IDB (manufacturer of FluLaval quadravalent 3+ yrs)
    • Complete Manufacturer code set available from the CDC.

Active vaccine codes

HL7 Note: Use CVX vaccine code in RXA-5.

Vaccine Group Vaccine Trade Name MVX Description CPT CVX
Adeno Adenovirus, types 4 and 7 Adeno T4 and T7 BRR Adenovirus, type 4 and type 7, live, oral NA 143
Adenovirus, Unspecified     Non-specific, for historical doses only NA 82
Anthrax Anthrax Anthrax MIP Anthrax 90581 24
BCG BCG-TB BCG-TB OTC Bacillus Calmette-Guerin TB 90585 19
BCG-BC BCG-Cancer OTC Bacillus Calmette-Guerin bladder cancer 90586  
Cholera Cholera-Injectable Cholera-I NOV Cholera injectable 90725 26
Cholera-Oral Cholera-O NOV Cholera oral 90592
Diphtheria Diphtheria Diphtheria PD Diphtheria toxoid for intramuscular use 90719 NA
DTP/aP DT-Peds DT Pediatric PMC   90702 28
DTaP Tripedia PMC Diphtheria, tetanus, acellular pertussis 90700 20
Infanrix SKB
DAPTACEL PMC Diphtheria, tetanus, acellular pertussis, 5 antigens 90700 106
DTaP-IPV Kinrix SKB DTaP-IPV combination 90696 130
DTaP-Polio-Hep B Pediarix SKB DTaP-Polio-Hep B combination 90723 110
DTaP-Hib-IPV Pentacel PMC DTaP -Hib-IPV combination 90698 120
DTaP, Unspecified     Non-specific, for historical doses only   107
Encephalitis Japanese encephalitis JE-Vax PMC Japanese encephalitis, subcutaneous 90735 39
Ixiaro INT Japanese encephalitis, intramuscular 90738 134
HepA HepA-Adult VAQTA-Adult MSD Hepatitis A adult 90632 52
Havrix-Adult SKB Hepatitis A adult
HepA-Ped 2 dose VAQTA-Peds 2 Dose MSD Hepatitis A pediatric/adolescent 2 dose 90633 83
Havrix-Peds SKB Hepatitis A pediatric/adolescent 2 dose
HepA-HepB Twinrix SKB Hepatitis A & Hepatitis B adult 90636 104
HepA-peds, Unspecified     Non-specific, for historical doses only NA 31
HepA, Unspecified     Non-specific, for historical doses only 90730 85
HepB HepB-Peds Recombivax-Peds MSD Hepatitis B pediatric/adolescent .5 ml 90744 08
Engerix-B Peds SKB Hepatitis B pediatric/adolescent .5 ml
HepB Adolescent Recombivax 2-dose MSD Hepatitis B adolescent 2 dose 90743 43
HepB-Adult Recombivax-Adult MSD Hepatitis B adult dose 1ml 90746 43
Engerix-B Adult SKB Hepatitis B adult dose 1ml
HepB-Dialysis Recombivax-Dialysis MSD Hepatitis B dialysis /immunosuppressed 90740 44
Engerix-B dialysis SKB Hepatitis B dialysis/ immunosuppressed
Recombivax-Dialysis MSD Hepatitis B Dialysis 4 dose 90747
HepB-Hib Comvax MSD HepB-Hib combination 90748 51
HepA-HepB Twinrix SKB Hepatitis A & Hepatitis B adult 90636 104
DTaP-Polio-Hep B Pediarix SKB DTaP-Polio-Hep B combination 90723 110
HepB, Unspecified     Non-specific, for historical doses only 90731 45
Hib Hib-PRP-OMP PedvaxHIB MSD Haemophilus influenzae b OMP 3-dose 90647 49
Hib-PRP-T ActHib PMC Haemophilus influenzae b PRP-T 4-dose 90648 48
Hiberix SKB Haemophilus influenzae b PRP-T 4-dose
HepB-Hib Comvax MSD HepB-Hib combination 90748 51
DTaP-Hib-IPV Pentacel PMC DTaP-Hib-IPV combination 90698 120
Hib, Unspecified     Non-specific, for historical doses only 90737 17
HPV HPV quadrivalent Gardasil MSD Human papillomavirus, quadrivalent (HPV4) 90649 62
HPV bivalent Cervarix SKB Human papillomavirus, bivalent (HPV2) 90650 118
HPV, Unspecified     Non-specific, for historical doses only NA 137
Ig

Ig

Ig

  Ig human 90281 86
IgIV IgIV   Ig IV human 90283 87
Botulinum-antitoxin Botulinum-antitoxin   Botulinum antitoxin equine 90287 27
Botulism Botulism   Botulism Ig, human 90288 NA
CMV-IgIV CMV-IgIV   Cytomegalovirus Ig IV human 90291 29
Diphtheria-antitoxin Diphtheria-antitoxin   Diphtheria antitoxin, equine 90296 12
HBIG HBIG   Hepatitis B Ig human 90371 30
RIG RIG   Rabies Ig human 90375 34
RIG-HT RIG-HT   Rabies Ig heat treated human 90376 34
RSV-IgIM RSV-IgIM   Respiratory syncytial virus Ig 90378 93

RSV-IgIV

RSV-IgIV

  Respiratory syncytial virus Ig IV 90379 71
Rho(D)IM only Rho(D)IM only   Rho(D)Ig Rhlg human full-dose 90384 157
Rho(D)Mini dose Rho(D)Mini   Rho(D)Ig Rhlg human mini-dose 90385  
Rho(D)IV Rho(D)IV   Rho(D)Ig Rhlg human IV 90386 156
Rho(D) Unspecified     Non-specific, for historical doses only   159
TiG TIg   Tetanus Ig human 90389 13
Vaccinia Immune Globulin VIG   Vaccinia Ig human 90393 79
Varicella Immune Globulin VZIG   Varicella-zoster Ig human 90396 36
Influenza FLU 6-35 months

Fluzone 6-35 mos

PMC

Influenza split virus, for children 6-35 months (multi-dose vial), IIV3

90657 141
Fluzone p-free 6-35 mos PMC Influenza split virus, preservative-free, for children 6-35 months (prefilled syringe), IIV3 90655 140
Fluzone quad 6-35 months PMC influenza, live, intramuscular, quadrivalent, IIV4 90685 150
FLU > 3 years Afluria 9+ yrs CSL Influenza split virus, for >= 9 years (multi-dose vial), IIV3 90658 141
FluLaval 3+ yrs IDB Influenza split virus, for >= 3 years (multi-dose vial), IIV3
Fluvirin 4+ yrs NOV Influenza split virus for >= 4 years (multi-dose vial), IIV3
Fluzone 3+ yrs PMC Influenza split virus for >= 3 years (multi-dose vial), IIV3
Afluria p-free 9+ yrs CSL Influenza split virus, preservative-free, for >= 9 years (prefilled syringe), IIV3 90656 140

Agriflu 18+ yrs deleted

NOV

Influenza split virus, preservative-free, for >= 18 years (prefilled syringe), IIV3

Fluarix 3+ yrs SKB Influenza split virus, preservative-free, for >= 3 years (prefilled syringe), IIV3
Fluvirin p-free 4+ yrs NOV Influenza split virus, preservative-free for >= 4 years (prefilled syringe), IIV3
Fluzone p-free 3+ yrs PMC Influenza split virus, preservative-free, for >= 3 years (prefilled syringe, single-dose vial), IIV3
Fluarix quad 3+ yrs SKB Influenza, injectable, quadrivalent, preservative-free for >= 3 yrs, IIV4 90686 150
Fluzone quad 3+ yrs PMC influenza, live, intramuscular, quadrivalent, IIV4
FluLaval quad 3+ yrs IDB Influenza, injectable, quadrivalent, for >= 3 yrs (multi-dose vial), IIV4 90688 158
Influenza, cont. FLU 18-49 years Flublok p-free 18-49 yrs PSC influenza, recombinant, injectable, preservative free 90673 155
FLU intradermal, p-free 18-64 yrs Fluzone ID 18-64 yrs PMC Influenza seasonal, intradermal, preservative-free 90654 144
FLU 18+ years Flucelvax NOV Influenza, injectable, MDCK, preservative free 90661 153
FLU 65+ years Fluzone high-dose 65+ yr PMC High dose influenza split virus, preservative-free for >= 65 years (prefilled syringe) 90662 135
FLU-NASAL FluMist MED Live-attenuated intra-nasal (sprayer) 90660 111
FluMist IIV4 MED Influenza, live, intranasal, quadrivalent 90672 149
FLU-NASAL, Unspecified     Non-specific, for historical doses only   151
FLU, Unspecified     Non-specific, for historical doses only 90724 88

MMR

Measles

Mumps

Rubella

MMR MMR II MSD Measles, mumps and rubella live 90707 03
MMRV ProQuad MSD Measles, mumps, rubella, varicella live 90710 94
Rubella Meruvax II MSD Rubella live 90706 06
Rubella PR Rubella live
Meninge-conj MCV4 (Meninge conjugate) Menactra PMC Meningococcal conjugate, polysaccharide 90734 114
Menveo NOV Meningococcal conjugate, oligosaccharide 136
Meningococcal, Unspecified     Non-specific, for historical doses only NA 108
Meninge-poly MPSV (Meninge poly) Menomune PMC Meningocococcal polysaccharide 90733 32
Plague Plague Plague   Plague 90727 23
Pneumo-conj Pneumo-PCV13 Prevnar 13 PFR Pneumococcal conjugate, 13-valent 90670 133
Pneumococcal, Unspecified     Non-specific, for historical doses only NA 109
Pneumo-poly Pneumo-PPSV23

Pneumovax 23

MSD Pneumococcal polysaccharide, 23 valent

90732 33
Polio Polio-Inject IPOL PMC Poliovirus inactivated IPV 90713 10
DTaP-Polio Kinrix SKB DTaP-IPV combination 90696 130
DTaP-Polio-Hep B Pediarix SKB DTaP-Polio-Hep B combination 90723 110
DTaP-Hib-IPV Pentacel PMC DTaP-Hib-IPV combination 90698 120
Polio, Unspecified     Non-specific, for historical doses only NA 89
Rabies Rabies-intramuscular Imovax Rabies IM PMC Rabies intramuscular 90675 18
RabAvert NOV Rabies intramuscular
Rabies-intradermal Imovax Rabies ID PMC Rabies intradermal 90676 40
Rabies, Unspecified     Non-specific, for historical doses only    
Rotavirus Rotavirus, monovalent, 2-dose Rotarix SKB

Rotavirus, monovalent live oral, 2-dose

90681 119
Rotavirus, pentavalent, 3-dose RotaTeq MSD Rotavirus, pentavalent live oral, 3-dose 90680 116
Rotavirus, Unspecified     Non-specific, for historical doses only NA 122
Smallpox Smallpox ACAM2000 PMC Smallpox (vaccinia) vaccine, live NA 75
Td/Tdap Td Td >7 years MBL Tetanus and diphtheria adult 90718 09
Td preservative-free Tenivac 7+ yrs PMC Td preservative-free 90714 113
Tdap > 7 years Adacel 11+ yrs PMC TdaP > 7 years 90715 115
Boostrix 10+ yrs SKB TdaP > 7 years
Tdap > 7 years, Unspecified     Tdap, unspecified formulation; use only if actual product is unknown
Tetanus Tetanus toxoid, adsorbed TT adsorbed   Tetanus toxoid, adsorbed 90703 35
Tetanus toxoid, not adsorbed TT not adsorbed   Tetanus toxoid, not adsorbed NA 142
Typhoid Typhoid-oral Vivotif Berna/Ty21a BER Typhoid oral 90690 25
Typhoid-ViCPs Typhim Vi PMC Typoid VI capsular polysaccharide 90691 101
Typhoid-H-P Typhoid PFR Typhoid heat and phenol inactivated 90692 41
Typhoid-AKD Typhoid-AKD   Typhoid acetone-killed, dried (military) 90693 53
Typhoid, Unspecified     Non-specific, for historical doses only    
Varicella MMRV ProQuad MSD Measles, mumps, rubella, varicella live 90710 94
Varicella Varivax MSD Varicella live 90716 21
Yellow Fever Yellow Fever YF-VAX PMC Yellow Fever live 90717 37
Zoster/ Shingles Zoster vaccine, live Zostavax MSD Zoster vaccine, live 90736 121


NA: Not assigned.

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Inactive vaccine codes

These codes are inactive and should only be used to report historical vaccinations.

Vaccine Group Vaccine Trade Name MVX Description CPT CVX
Adeno Adeno T4 Adeno T4 PFR Adenovirus type 4, live oral 90476 54
Adeno T7 Adeno T7 PFR Adenovirus type 7, live oral 90477 55
BCG BCG-Deleted     BCG code deleted in 1999 90728 19
BCG-TB          
DTP/aP Historical DTP/aP Tetramune PFR Discontinued DTP-Hib brand 90720 22
TriHIBit PMC Discontinued DTaP-Hib brand 90721 50
DTP PMC Discontinued DTP whole cell vaccine, licensed 1949-1997 90701 01
Acel-Imune PFR Discontinued DTaP brand, licensed 1991-2001 90700 20
Certiva BAH Discontinued DTaP brand, licensed 1998-2000 90700 20
HepA Historical HepA VAQTA-Peds 3 Dose MSD Discontinued Hepatitis A pediatric/adolescent 3 dose products 90634 84
Havrix-Peds 3 Dose SKB
HepB Historical HepB HepB adolescent/ high risk infant   Deleted in 2000 90745 42
Hib Historical Hib Tetramune PFR Discontinued DTP-Hib brand 90720 22
TriHIBit PMC Discontinued DTaP-Hib brand 90721 50
Hib-TITER PFR Discontinued Hib-HbOC vaccine, licensed 1990-2007 90645 47
ProHIBit PMC Discontinued Hib-PRP-D vaccine, licensed 1987-2000 90646 46
OmniHib SKB Discontinued Hib-PRP-T brand, licensed 1988-1996 90648 48
Influenza FLU > 12 Years-Deleted          
FLU-Deleted          
Influenza, whole virus     Discontinued vaccine, licensed 1945-2003 90659 16
Influenza, 2009 H1N1 Novel Flu H1N1-09 Novel Flu H1N1 CSL CSL   90668 127
H1N1 GlaxoSmithKline SKB  
H1N1 Novartis NOV  
H1N1 Sanofi PMC  
H1N1-09 Novel Flu p-free H1N1 CSL, p-free CSL   90666 126
H1N1 GlaxoSmithKline, p-free SKB  
H1N1 Novartis, p-free NOV  
H1N1 Sanofi, p-free PMC  
H1N1-09 Novel Flu- Nasal H1N1 Medimmune MED   90664 125
H1N1-09 Novel Flu, all formulations H1N1 Novel Flu   Use only if actual product is unknown 90663 128
Lyme Lyme LYMErix SKB Lyme disease 90665 66

MMR

Measles

Mumps

Rubella

Historical measles Attenuvax MSD Measles live 90705 05
Measles EL Measles live 1964-1974
EL Measles inactivated 1963-1966
PFR Measles live 1963-1979
GO Measles live
PRI Measles live 1963-1972
Historical mumps Mumpsvax MSD Mumps live 90704 07
Mumps   Mumps 1950-1978
Historical mumps-rubella Biavax II MSD Rubella and mumps live 90709 38
Biavax MSD Rubella and mumps live
Historical measles-rubella Measles-Rubella MSD Measles and rubella live 90708 04
Pneumo-conj Pneumo-PCV7 Prevnar 7 PFR Pneumococcal conjugate, 7-valent 90669 100
Pneumo-poly Historical pneumo-poly PNU-IMUNE 23 PFR

Discontinued brand, licensed 1977-2001

90732 33
Polio Historical polio ORIMUNE PFR Discontinued oral polio vaccine (in US), licensed 1963-2000 90712 02
Rabies Deleted rabies     Deleted Rabies code 90726 90
Rotavirus Historical rotavirus RotaShield PFR Discontinued rotavirus tetravalent brand, licensed 1998-1999 NA 74
Smallpox Historical smallpox Dryvax PFR Discontinued in 2008 NA 75
Td/Tdap Historical Td-preservative free Decavac 7+ yrs PMC Discontinued in 2012 90714 113
Typhoid Deleted typhoid
    Deleted Typhoid code 90714 91
Typhus Historical typhus Typhus   Discontinued vaccine NA 131

 

Manufacturer codes

 

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Updated Tuesday, 22-Oct-2013 14:34:42 CDT