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, CVX codes, and vaccine manufacturers.

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What's new

Recent additions and changes to MIIC vaccines and vaccine codes including new vaccines and new trade names.

Vaccine codes

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

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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
Adenovirus, types 4 and 7 Adeno T4 and T7 BRR Adenovirus, type 4 and type 7, live, oral NA 143
Adeno, NOS     Adenovirus vaccine, unspecified formulation 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
Historical BCG     BCG code deleted in 1999; use for historical data only 90728
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
Historical DTP/aP    

DTaP, NOS; Use for historical data only

 NA 107
Tetramune PFR Discontinued DTP-Hib brand, use for historical data only 90720 22
TriHIBit PMC Discontinued DTaP-Hib brand, use for historical data only 90721 50
DTP PMC Discontinued DTP whole cell vaccine, licensed 1949-1997; use for historical data only 90701 01
Acel-Imune PFR Discontinued DTaP brand, licensed 1991-2001; use for historical data only 90700 20
Certiva BAH Discontinued DTaP brand, licensed 1998-2000; use for historical data only 90700 20
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, NOS     Hepatitis A, pediatric, unspecified formulation; use only if actual product is unknown NA 31
Historical HepA     HepA, NOS; Use for historical data only 90730 85
VAQTA-Peds 3 Dose MSD Discontinued Hepatitis A pediatric/adolescent 3 dose products; use for historical data only 90634 84
Havrix-Peds 3 Dose SKB
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
Historical HepB HepB adolescent/ high risk infant   Deleted in 2000; use for historical data only 90745 42
    Hep B, NOS; use for historical data 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
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; use for historical data only 90645 47
ProHIBit PMC Discontinued Hib-PRP-D vaccine, licensed 1987-2000; use for historical data only 90646 46
OmniHib SKB Discontinued Hib-PRP-T brand, licensed 1988-1996; use for historical data only 90648 48
    Hib, NOS; use for historical data 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 formulation     Human papillomavirus; use only if actual product is unknown 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)Full Rho(D)Full   Rho(D)Ig Rhlg human full-dose 90384 NA
Rho(D)Mini Rho(D)Mini   Rho(D)Ig Rhlg human mini-dose 90385
Rho(D)IV Rho(D)IV   Rho(D)Ig Rhlg human IV 90386
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 month

Fluzone 6-35 mos

PMC

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

 90657 141
Fluzone p-free 6-35 mos PMC Influenza split virus, preservative-free, for children 6-35 months (prefilled syringe) 90655 140
FLU > 3 years Afluria >= 9 yrs CSL Influenza split virus, for >= 9 years (multi-dose vial) 90658 141
FluLaval >= 18 yrs SKB Influenza split virus, for >= 18 years (multi-dose vial)
Fluvirin >= 4 yrs NOV Influenza split virus for >= 4 years (multi-dose vial)
Fluzone >= 3 yrs PMC Influenza split virus for >= 3 years (multi-dose vial)
Afluria >= 9 yrs, p-free CSL Influenza split virus, preservative-free, for >= 9 years (prefilled syringe) 90656 140

Agriflu >= 18 yrs

NOV

Influenza split virus, preservative-free, for >= 18 years (prefilled syringe)
Fluarix >= 3 yrs SKB Influenza split virus, preservative-free, for >= 3 years (prefilled syringe)
Fluvirin p-free >= 4 years NOV Influenza split virus, preservative-free for >= 4 years (prefilled syringe)
Fluzone p-free >= 3 yrs PMC Influenza split virus, preservative-free, for >= 3 years (prefilled syringe, single-dose vial)
Influenza, cont. FLU intradermal, p-free 18-64 yrs Fluzone ID 18-64 yrs PMC Influenza seasonal, intradermal, preservative-free 90654 144
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
Historical influenza Influenza, whole virus   Discontinued vaccine, licensed 1945-2003; use for historical data only 90659 16
    Influenza, NOS. Influenza, unspecified formulation; use for historical data only 90724 88
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, for historical purposes only 90665 66

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
Historical measles Attenuvax MSD Measles live; use for historical data only 90705 05
Measles EL Measles live 1964-1974; use for historical data only
EL Measles inactivated 1963-1966; use for historical data only
PFR Measles live 1963-1979; use for historical data only
GO Measles live; use for historical data only
PRI Measles live 1963-1972; use for historical data only
Historical mumps Mumpsvax MSD Mumps live; use for historical data only 90704 07
Mumps   Mumps 1950-1978; use for historical data only
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
Meninge-conj MCV4 (Meninge conjugate) Menactra PMC Meningococcal conjugate, polysaccharide 90734 114
Menveo NOV Meningococcal conjugate, oligosaccharide 136
Meningococcal, unspecified formulation     Meningococcal vaccine, unspecified formulation; use only if actual product is unknown NA 108
Meninge-poly MPSV (Meninge poly) Menomune PMC Meningocococcal polysaccharide 90733 32
Plague Plague Plague   Plague 90727 23
Pneumo-poly Pneumo-PPSV23

Pneumovax 23

 MSD Pneumococcal polysaccharide, 23 valent

 90732 33
Historical pneumo-poly PNU-IMUNE 23 PFR

Discontinued brand, licensed 1977-2001; use for historical data only

Pneumo-conj Pneumo-PCV7 Prevnar 7 PFR Pneumococcal conjugate, 7-valent 90669 100
Pneumo-PCV13 Prevnar 13 PFR Pneumococcal conjugate, 13-valent 90670 133
Pneumococcal, unspecified formulation     Pneumoococcal vaccine, unspecified formulation; use only if actual product is unknown NA 109
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
Historical polio ORIMUNE PFR Discontinued oral polio vaccine (in US), licensed 1963-2000; use for historical data only 90712 02
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
Deleted rabies     Deleted Rabies code, do not use 90726 90
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 formulation     Rotavirus; use only if actual product is unknown NA 122
Historical rotavirus RotaShield PFR Discontinued rotavirus tetravalent brand, licensed 1998-1999; use for historical data only NA 74
Smallpox Smallpox ACAM2000 PMC Smallpox (vaccinia) vaccine, live NA 75
Historical smallpox Dryvax PFR Discontinued in 2008, use for historical data only 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, NOS. TdaP > 7 years, unspecified formulation; use only if actual product is unknown
Historical Td-preservative free Decavac 7+ yrs PMC Discontinued in 2012, use for historical data only 90714 113
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
Deleted typhoid
     Deleted Typhoid code, do not use 90714 91
Typhus Historical typhus Typhus   Discontinued vaccine, use for historical data only NA 131
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

NOS: Not otherwise specified; avoid using NOS codes except to record historical records that lack specificity.
NA: Not assigned.

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Vaccine manufacturers

HL7 Note: Use MVX code in RXA-17. HL7-defined table 0227.

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MVX Code Name
AB Abbott Laboratories (includes Ross Products Division)
ACA Acambis, Inc [Inactive--use PMC]
AD Adams Laboratories, Inc.
AKR Akorn, Inc.
ALP Alpha Therapeutic Corporation
AR Armour [Inactive--use ZLB]
AVB Aventis Behring L.L.C. (formerly Centeon L.L.C.; includes Armour Pharmaceutical Company) [Inactive--use ZLB]
AVI Aviron
BA Baxter Healthcare Corporation [Inactive--use BAH]
BAH Baxter Healthcare Corporation (includes Hyland Immuno, Immuno International AG, and North American Vaccine, Inc.)
BAY Bayer Corporation (includes Miles, Inc. and Cutter Laboratories)
BP Berna Products [Inactive--use BPC]
BPC Berna Products Corporation (includes Swiss Serum and Vaccine Institute Berne)
BRR Barr Laboratories
BTP Biotest Pharmaceuticals Corporation (new owner of NABI HB as of December 2007, does NOT replace NABI Biopharmaceuticals in this code list)
CEN Centeon L.L.C. [Inactive--use ZLB]
CHI Chiron Corporation (includes PowderJect Pharmaceuticals, Celltech Medeva Vaccines and Evans Medical Limited) [Inactive--use NOV]
CMP Celltech Medeva Pharmaceuticals [Inactive--use NOV]
CNJ Cangene Corporation
CON Connaught [Inactive--use PMC]
CSL CSL Biotherapies, Inc.
DVC DynPort Vaccine Company, LLC
EVN Evans Medical Limited [Inactive--use NOV]
GEO GeoVax Labs, Inc.
GRE Greer Laboratories, Inc.
IAG Immuno International AG [Inactive--use BAH]
IM Merieux [Inactive--use PMC]
INT Intercell Biomedical
IUS Immuno-U.S., Inc.
JPN The Research Foundation for Microbial Diseases of Osaka University
KGC Korea Green Cross Corporation
LED Lederle [Inactive--use PFR]
MA Massachusetts Public Health Biologic Laboratories [Inactive--use MBL]
MBL Massachusetts Biologic Laboratories (formerly Massachusetts Public Health Biologic Laboratories)
MED MedImmune, Inc.
MIL Miles [Inactive--use BAY]
MIP Bioport Corporation (formerly Michigan Biologic Products Institute)
MSD Merck & Co., Inc.
NAB NABI (formerly North American Biologicals, Inc.)
NAV North American Vaccine, Inc. [Inactive--use BAH]
NOV Novartis Pharmaceutical Corporation (includes Chiron, PowderJect Pharmaceuticals, Celltech Medeva Vaccines and Evans Limited, Ciba-Geigy Limited and Sandoz Limited)
NVX Novavax, Inc.
NYB New York Blood Center
ORT Ortho-Clinical Diagnostics (formerly Ortho Diagnostic Systems, Inc.)
OTC Organon Teknika Corporation
PD Parkedale Pharmaceuticals (formerly Parke-Davis)
PFR Pfizer, Inc
PMC sanofi pasteur (formerly Aventis Pasteur, Pasteur Merieux Connaught; includes Connaught Laboratories and Pasteur Merieux)
PRX Praxis Biologics [Inactive--use PFR]
PWJ PowderJect Pharmaceuticals (includes Celltech Medeva Vaccines and Evans Medical Ltd) [Inactive--use NOV]
SCL Sclavo, Inc.
SI Swiss Serum and Vaccine Inst. [Inactive--use BPC]
SKB GlaxoSmithKline (formerly SmithKline Beecham; includes SmithKline Beecham and Glaxo Welcome)
SOL Solvay Pharmaceuticals
TAL Talecris Biotherapeutics (includes Bayer Biologicals)
USA United States Army Medical Research and Material Command
VXG VaxGen
WA Wyeth-Ayerst [Inactive--use PFR]
WAL Wyeth-Ayerst (includes Wyeth-Lederle Vaccines and Pediatrics, Wyeth Laboratories, Lederle Laboratories, and Praxis Biologics) [Inactive--use PFR]
ZLB ZLB Behring (includes Aventis Behring and Armour Pharmaceutical Company)
OTH Other manufacturer
UNK Unknown manufacturer

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Updated Monday, 16-Apr-2012 08:34:05 CDT