Reminder: Immunization follow up should be conducted by age 2
| Date: | September 22, 2021 |
| To: | Health Plan of San Joaquin (HPSJ) Contracted PCPs, Clinics, Pediatrics Offices |
| From: | Health Plan of San Joaquin |
| Subject: | Child Immunization Status UPDATE – Reminder: Immunization follow up should be conducted by age 2 |
| Business: | Medi-Cal Managed Care |
SUMMARY FOR MEASURE YEAR (MY) 2021
Childhood Immunization Status: Combination 10
Providers, please be aware of child HPSJ members turning two years of age before November 2021.
Please remember:
- Report all Administered Vaccines into the RIDE (preferred) or CAIR 2 registry within 14 days
- Document the date of the first hepatitis B vaccination – if given at a hospital please note the hospital’s name
Added for 2020-2021:
- The requirement that if the LAIV (influenza)vaccination is given it must occur ON the child’s second birthday.
Most common deficiencies in coding and billing occur with:
- (Hep B) hepatitis B at birth
- (RV) Rotavirus 2 dose vs (RV)Rotavirus 3 dose
The Childhood Immunization Status (Combination 10) Measure calculates a rate for each vaccine and ten separate combination rates. These, including billing codes, are listed below.
All Required Vaccines Before 2nd Birthday
- 4 –(DTaP) diphtheria, tetanus and acellular pertussis. CPT– 90698,90700,90723
- 3- (IPV) polio, CPT– 90698,90713,90723
- 1- (MMR) measles, mumps and rubella, CPT– 90707,90710
- 3- (Hib) haemophilus influenza type B, CPT– 90644,90648,9698,90748
- 3 -(Hep B) hepatitis B, CPT– 90723,90740,90744,9074790748
- 1- (VZV) chicken pox, CPT– 90710,90716
- 4- (PCV) pneumococcal conjugates-CPT– 90670
- 1- (Hep A) hepatitis A, CPT– 90633
- 2/3- (RV) rotaviruses; 2 dose_CPT– 90681 or 3 dose_CPT– 90680
- 2- (flu) influenza vaccines, CPT- 90655,90657,90662,90673,90685,90686,90688,90689
If you have questions, please contact Provider Services at 1.888.936 PLAN (7526).