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CMS147v6 Code List

Code List: CMS147v6, Preventive Care and Screening: Influenza Immunization

MicroMD uses the following code lists to determine a patient’s inclusion in this measure.  To search for your code, simply press Ctrl + F on your keyboard, enter your code in the search field and press Enter on your keyboard.

ItemCodes
Encounter Codes
Encounter, Performed: Annual Wellness Visit: HCPCSG0438, G0439
Encounter, Performed: Care Services in Long-Term Residential Facility: CPT99324, 99325, 99326, 99327, 99328, 99334, 99335, 99336, 99337
Encounter, Performed: Preventive Care- Initial Office Visit, 0 to 17: CPT99381, 99382, 99383, 99384
Encounter, Performed: Preventive Care – Established Office Visit, 0 to 17: CPT99391, 99392, 99393, 99394
Encounter, Performed: Preventive Care Services-Initial Office Visit, 18 and Up: CPT99385, 99386, 99387
Encounter, Performed: Preventive Care Services – Established Office Visit, 18 and Up: CPT99395, 99396, 99397
Encounter, Performed: Preventive Care Services – Group Counseling: CPT99411, 99412
Encounter, Performed: Preventive Care Services – Other: CPT99420, 99429
Encounter, Performed: Preventive Care Services-Individual Counseling: CPT99401, 99402, 99403, 99404
Encounter, Performed: Discharge Services – Nursing Facility: CPT99315, 99316
Encounter, Performed: Encounter-Influenza: HCPCSG0438, G0439
Encounter, Performed: Encounter-Influenza: CPT99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99241, 99242, 99243, 99244, 99245, 99304, 99305, 99306, 99307, 99308, 99309, 99310, 99315, 99316, 99324, 99325, 99326, 99327, 99328, 99334, 99335, 99336, 99337, 99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349, 99350, 99381, 99382, 99383, 99384, 99385, 99386, 99387, 99391, 99392, 99393, 99394, 99395, 99396, 99397, 99401, 99402, 99403, 99404, 99411, 99412, 99420, 99429
Encounter, Performed: Encounter-Influenza: SNOMED12843005, 18170008, 185349003, 185463005, 185465003, 19681004, 207195004, 270427003, 270430005, 308335008, 390906007, 406547006, 439708006, 4525004, 87790002, 90526000
Encounter, Performed: Face-to-Face Interaction: SNOMED12843005, 18170008, 185349003, 185463005, 185465003, 19681004, 207195004, 270427003, 270430005, 308335008, 390906007, 406547006, 439708006, 87790002, 90526000
Encounter, Performed: Home Healthcare Services: CPT99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349, 99350
Encounter, Performed: Nursing Facility Visit: CPT99304, 99305, 99306, 99307, 99308, 99309, 99310
Encounter, Performed: Office Visit: CPT99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215
Encounter, Performed: Outpatient Consultation: CPT99241, 99242, 99243, 99244, 99245
Encounter, Performed: Patient Provider Interaction: SNOMED11797002, 12843005, 18170008, 185316007, 185317003, 185318008, 185320006, 185321005, 185349003, 185463005, 185465003, 19681004, 207195004, 270424005, 270427003, 270430005, 308335008, 308720009, 386473003, 390906007, 401267002, 401271004, 406547006, 438515009, 438516005, 439708006, 445450000, 448337001, 4525004, 87790002, 90526000
Procedure, Performed: Peritoneal Dialysis: CPT90945, 90947, 90951, 90952, 90953, 90954, 90955, 90956, 90957, 90958, 90959, 90960, 90961, 90962, 90963, 90964, 90965, 90966, 90967, 90968, 90969, 90970
Procedure, Performed: Peritoneal Dialysis: SNOMED14684005, 225230008, 238318009, 238319001, 238321006, 238322004, 238323009, 428648006, 676002, 71192002
Procedure, Performed: Hemodialysis: CPT90951, 90952, 90953, 90954, 90955, 90956, 90957, 90958, 90959, 90960, 90961, 90962, 90963, 90964, 90965, 90966, 90967, 90968, 90969, 90970, 99512
Procedure, Performed: Hemodialysis: SNOMED302497006
Immunization Codes
Immunization, Administered: Influenza Vaccine: CVX88, 135, 140, 141, 144, 149, 150, 151, 153, 155, 158, 161, 166, 168
Procedure, Performed: Influenza Vaccination: HCPCSG0008, Q2034, Q2035, Q2036, Q2037, Q2038, Q2039
Procedure, Performed: Influenza Vaccination: CPT90685, 90686, 90687, 90688, 90653, 90654, 90655, 90656, 90657, 90658, 90660, 90661, 90662, 90664, 90666, 90667, 90668, 90672, 90630, 90673
Procedure, Performed: Influenza Vaccination: SNOMED86198006
Communication of Prior Receipt
Communication: From Patient to Provider: Previous Receipt of Influenza Vaccine: SNOMED185900003, 185901004, 185902006, 416928007
Exception Codes
Communication: From Patient to Provider: Influenza Vaccination Declined: SNOMED315640000
Procedure, Performed not done: Medical Reason: SNOMED(31438003) Drug resistance; (35688006) Complication of medical care; (59037007) Drug intolerance; (62014003) Adverse reaction to drug; (79899007) Drug interaction; (183932001) Procedure contraindicated; (183964008) Treatment not indicated; (183966005) Drug treatment not indicated; (216952002) Failure in dosage; (266721009) Absent response to treatment; (269191009) Late effect of medical and surgical care complication; (274512008) Drug therapy discontinued; (371133007) Treatment modification; (397745006) Medical contraindication; (407563006) Treatment not tolerated; (410534003) Not indicated; (410536001) Contraindicated; (416098002) Drug allergy; (416406003) Procedure discontinued; (428119001) Procedure not indicated; (445528004) Treatment changed
Procedure, Performed not done: Patient Reason: SNOMED(105480006) Refusal of treatment by patient; (160932005) Financial problem; (160934006) Financial circumstances change; (182890002) Patient requests alternative treatment; (182895007) Drug declined by patient; (182897004) Drug declined by patient – side effects; (182900006) Drug declined by patient – patient beliefs; (182902003) Drug declined by patient – cannot pay script; (183944003) Procedure refused; (183945002) Procedure refused for religious reason; (184081006) Patient has moved away; (185479006) Patient dissatisfied with result; (185481008) Dissatisfied with doctor; (224187001) Variable income; (225928004) Patient self-discharge against medical advice; (258147002) Stopped by patient; (266710000) Drugs not taken/completed; (266966009) Family illness; (275694009) Patient defaulted from follow-up; (275936005) Patient noncompliance – general; (281399006) Did not attend; (310343007) Further opinion sought; (373787003) Treatment delay – patient choice; (385648002) Rejected by recipient; (406149000) Medication refused; (408367005) Patient forgets to take medication; (413310006) Patient non-compliant – refused access to services; (413311005) Patient non-compliant – refused intervention / support; (413312003) Patient non-compliant – refused service; (416432009) Procedure not wanted; (423656007) Income insufficient to buy necessities; (424739004) Income sufficient to buy only necessities; (443390004) Refused
Procedure, Performed not done: System Reason: SNOMED(107724000) Patient transfer; (182856006) Drug not available – out of stock; (182857002) Drug not available-off market; (185335007) Appointment canceled by hospital; (224194003) Not entitled to benefits; (224198000) Delay in receiving benefits; (224199008) Loss of benefits; (242990004) Drug not available for administration; (266756008) Medical care unavailable; (270459005) Patient on waiting list; (309017000) Referred to doctor; (309846006) Treatment not available; (419808006) Finding related to health insurance issues; (424553001) Uninsured medical expenses
Diagnosis: Allergy to eggs: ICD-9995.68, V15.03
Diagnosis: Allergy to eggs: ICD-10T78.08XA, T78.08XD, T78.08XS, Z91.012
Diagnosis: Allergy to eggs: SNOMED213020009, 91930004
Diagnosis: Allergy to Influenza Vaccine: SNOMED294647003, 294648008, 294649000
Diagnosis: Intolerance to Influenza Vaccine: SNOMED293112000, 293113005, 390796006, 420113004
Procedure, Intolerance: Influenza Vaccination: CPT90630, 90654, 90673, 90685, 90686, 90687, 90688, 90653, 90654, 90655, 90656, 90657, 90658, 90660, 90661, 90662, 90664, 90666, 90667, 90668, 90672
Procedure, Intolerance: Influenza Vaccination: SNOMED86198006