Vaccine Code Set Release Notes - 5/22/2024

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NCIRD National Center for Immunization and Respiratory Diseases

 

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Vaccine Code Set Update Publication Date:  May 22, 2024
The individual filenames included in this distribution contain the publication date (20240522)

 

Release Notes: This release includes updates to all regular vaccine code set files plus updates to the Vaccine Information Statement (VIS) related code files.

 

General Note Regarding this Release:  Codes with “Last Update” dates after March 21, 2024, and before May 20, 2024, reflect the changes and additions in this release.  This release includes the following code set updates:

 

1. Trivalent Influenza Vaccines for 2024/2025 Season

Influenza vaccines for the upcoming 2024/2025 season will no longer be quadrivalent.  Three strains have been approved for the coming year and thus vaccines will be trivalent.  This necessitates a significant number of vaccine code updates.

 

CDC has decided to take this opportunity to modernize the Northern Hemisphere influenza codes for both trivalent and quadrivalent vaccines.  This will bring all of these codes to the current standard and will provide improved clarity, consistency, and comparability across codes.

 

Code changes related to the transition from quadrivalent to trivalent influenza vaccines for 2024/2025 include:

  1. CVX Codes – Trivalent: Trivalent CVX code descriptions and notes updated for pre-existing trivalent CVX codes relevant to the upcoming season.  One new CVX code has been added.
  2. CVX Codes – Quadrivalent:  CVX code descriptions for Northern Hemisphere vaccines have been updated for clarity and consistency across trivalent and quadrivalent influenza codes.  Southern Hemisphere vaccines remain as quadrivalent at this time.
  3. Product Tradename to CVX/MVX Crosswalk
    1. New product records: Added records for trivalent vaccines anticipated for 2024/2025 season.
    2. Retired prior trivalent product records: Status changed to inactive.
  4. Trivalent CPT to CVX: Updated map from CPT to CVX where needed, CPT to CVX map now includes the updated CVX descriptions.
  5. CVX to VIS: Updated map from CVX to VIS where needed, CVX to VIS map now includes the updated CVX descriptions.
  6. In addition to the code changes above, the following updates have been made to CDC’s IIS Data Code Sets website’s Seasonal Influenza Codes and Crosswalk tables.  You can access here Fall Season Respiratory Vaccine Codes | CDC

    • New Table: “Preview of the Trivalent Influenza Vaccine Codes for Season 2024/2025” anticipated vaccines have been added.
    • Updated Table: “Influenza Vaccines for Season 2023/2024 (Northern Hemisphere)” now reflects the updated CVX descriptions.

2. Other Code Set Updates

  1. VIS Edition Status Correction: Document edition status change from “Current” to “Historic” was not updated in 2022.
  2. NDC Updates: NDCs retired and other field changes

 

Vaccine Code Set Updates – Details

 

1. Trivalent Influenza Vaccines for 2024/2025 Season

Influenza vaccines for the upcoming 2024/2025 season will no longer be quadrivalent.  Three strains have been approved for the coming year and thus vaccines will be trivalent.  This necessitates a significant number of vaccine code updates as noted below.

  1. CVX Codes – Trivalent: The following table identifies the updated trivalent CVX codes, descriptions, and note field for the coming influenza season.  One new CVX code has been added.  If a CVX vaccine code status was previously set to “Inactive”, the status has been updated to “Active”.

CVX

Long Description

Short Description

CVX Note

CVX Status

111

Influenza, live, trivalent, intranasal

Influenza, live, trivalent, intranasal

Trivalent code reactivated for 2024/2025 season

Active

135

Influenza, high-dose, split virus, trivalent, injectable, preservative free

Influenza, high-dose, trivalent, PF

Trivalent code reactivated for 2024/2025 season

Active

140

Influenza, split virus, trivalent, injectable, preservative free

Influenza, split virus, trivalent, PF

Trivalent code reactivated for 2024/2025 season

Active

141

Influenza, split virus, trivalent, injectable, contains preservative

Influenza, split virus, trivalent, preservative

Trivalent code reactivated for 2024/2025 season

Active

153

Influenza, Madin Darby Canine Kidney, subunit, trivalent, injectable, preservative free

Influenza, MDCK, trivalent, PF

Trivalent code reactivated for 2024/2025 season

Active

155

Influenza, recombinant, trivalent, injectable, preservative free

Influenza, recombinant, trivalent, PF

Trivalent code reactivated for 2024/2025 season

Active

168

Influenza, adjuvanted, inactivated, trivalent, injectable, preservative free

Influenza, adjuvanted, trivalent, PF

Trivalent code reactivated for 2024/2025 season

Active

320
NEW

Influenza, Madin Darby Canine Kidney, subunit, trivalent, injectable, contains preservative

Influenza, MDCK, trivalent, preservative

Trivalent code starting 2024/2025 season

Active

  1. CVX Codes – Quadrivalent: Quadrivalent CVX codes have been updated for currently active Northern Hemisphere CVX codes.  The following table identifies the updated quadrivalent CVX code descriptions and note fields for CVX codes applied in the current 2023/2024.

CVX

Long Description

Short Description

CVX Note

CVX Status

149

Influenza, live, quadrivalent, intranasal

Influenza, live, quadrivalent, intranasal

Quadrivalent code starting 2013/2014 season

Active

150

Influenza, split virus, quadrivalent, injectable, preservative free

Influenza, split virus, quadrivalent, PF

Quadrivalent code starting 2013/2014 season

Active

158

Influenza, split virus, quadrivalent, injectable, contains preservative

Influenza, split virus, quadrivalent, preservative

Quadrivalent code starting 2013/2014 season

Active

171

Influenza, Madin Darby Canine Kidney, subunit, quadrivalent, injectable, preservative free

Influenza, MDCK, quadrivalent, PF

Quadrivalent code starting 2016/2017 season

Active

185

Influenza, recombinant, quadrivalent, injectable, preservative free

Influenza, recombinant, quadrivalent, PF

Quadrivalent code starting 2017/2018 season

Active

186

Influenza, Madin Darby Canine Kidney, subunit, quadrivalent, injectable, contains preservative

Influenza, MDCK, quadrivalent, preservative

Quadrivalent code starting 2017/2018 season

Active

197

Influenza, high-dose, split virus, quadrivalent, injectable, preservative free

Influenza, high-dose, quadrivalent, PF

Quadrivalent code starting 2020/2021 season

Active

205

Influenza, adjuvanted, inactivated, quadrivalent, injectable, preservative free

Influenza, adjuvanted, quadrivalent, PF

Quadrivalent code starting 2020/2021 season

Active

  1. Product Tradename to CVX/MVX Crosswalk
    1. New trivalent product records have been added for trivalent vaccines starting the 2024/2025 season.  The following table shows the new product record entries and their associated CVX and MVX codes.

CDC Trivalent Product Tradename Added

Product Status

Trivalent CVX

MVX Code

MVX Manufacturer

FluMist trivalent

Active

111

MED

MedImmune, Inc. (AstraZeneca)

Fluzone High-Dose trivalent, preservative free

Active

135

PMC

Sanofi Pasteur

Afluria trivalent, preservative free

Active

140

SEQ

Seqirus

Fluarix trivalent, preservative free

Active

140

SKB

GlaxoSmithKline

Flulaval trivalent, preservative free

Active

140

IDB

ID Biomedical

Fluzone trivalent, preservative free

Active

140

PMC

Sanofi Pasteur

Afluria trivalent, with preservative

Active

141

SEQ

Seqirus

Fluzone trivalent, with preservative

Active

141

PMC

Sanofi Pasteur

Flucelvax trivalent, preservative free

Active

153

SEQ

Seqirus

Flublok trivalent, preservative free

Active

155

PMC

Sanofi Pasteur

Fluad trivalent, preservative free

Active

168

SEQ

Seqirus

Flucelvax trivalent, with preservative

Active

320

SEQ

Seqirus

    1. Retired trivalent product records from prior seasons.  The following product table records were associated to past trivalent NDCs and have been retired.

CDC Trivalent Product Tradenames Retired

Product status

Trivalent CVX Code

MVX Code

MVX Manufacturer

FLUZONE-HIGH DOSE

Inactive

135

PMC

Sanofi Pasteur

FLUARIX

Inactive

140

SKB

GlaxoSmithKline

Afluria

Inactive

141

SEQ

Seqirus

FLULAVAL

Inactive

141

IDB

ID Biomedical

FLUVIRIN

Inactive

141

NOV

Novartis Pharmaceutical Corporation

Fluvirin

Inactive

141

SEQ

Seqirus

FLUZONE

Inactive

141

PMC

Sanofi Pasteur

Flucelvax

Inactive

153

NOV

Novartis Pharmaceutical Corporation

Flublok

Inactive

155

PSC

Protein Sciences

Flulaval quadrivalent

Inactive

158

IDB

ID Biomedical

Fluad

Inactive

168

SEQ

Seqirus

Fluad

Inactive

168

NOV

Novartis Pharmaceutical Corporation

  1. Trivalent CPT to CVX Codes:  The following table provides the updated CPT to CVX mapping for the 2024/2025 trivalent vaccines.  The CVX updated descriptions also appear on the published code set map file.

CPT Code

CPT Long Description

CVX Code

CVX Short

90660

Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use

111

Influenza, live, trivalent, intranasal

90662 (**)

Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use

135

Influenza, high-dose, trivalent, PF

90656

Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use

140

Influenza, split virus, trivalent, PF

90657

Influenza virus vaccine, trivalent (IIV3), split virus, 0.25 mL dosage, for intramuscular use

141

Influenza, split virus, trivalent, preservative

90658

Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use

90661 (*)

Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use

153

Influenza, MDCK, trivalent, PF

90673

Influenza virus vaccine, trivalent (RIV3), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use

155

Influenza, recombinant, trivalent, PF

90653

Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use

168

influenza, adjuvanted, trivalent, PF

90661 (*)

Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use

320

Influenza, MDCK, trivalent, preservative

 

CPT Code Notes:  AMA will reuse existing trivalent vaccine CPT codes.
* CPT code 90661 current description is expected to be modified as shown above to remove reference to preservative so it can be applied to both formulations of Flucelvax.
** CPT code 90662 is not valent specific and is used for trivalent CVX code 168 and quadrivalent CVX code 197.

  1. Trivalent CVX to VIS:  As shown in the table below, all trivalent CVX codes for the 2024/2025 season are now associated to a current edition VIS.  The CVX updated descriptions also appear on the published code set map file.

CVX Code

CVX Short Description

VIS Document Name

VIS Fully-encoded text string

VIS Edition Date

VIS Edition Status

111

Influenza, live, trivalent, intranasal

Influenza (Flu) Vaccine (Live, Intranasal) VIS

253088698300009711210806

8/6/2021

Current

135

Influenza, high-dose, trivalent, PF

Influenza (Flu) Vaccine (Inactivated or Recombinant) VIS

253088698300010311210806

8/6/2021

Current

140

Influenza, split virus, trivalent, PF

141

Influenza, split virus, trivalent, preservative

153

Influenza, MDCK, trivalent, PF

155

Influenza, recombinant, trivalent, PF

168

Influenza, adjuvanted, trivalent, PF

320

Influenza, MDCK, trivalent, preservative

 

2. Other Code Set Updates

  1. VIS Edition Status Correction: The following VIS document edition status was incorrectly not changed from “Current” to “Historic” in 2022.  This edition was the final VIS edition published for a Live Zoster vaccine.

    VIS Document Name:  Live Zoster Vaccine VIS
    VIS Fully-encoded text string: 253088698300020211191030
    Edition Date:  10/30/2019
    Edition Status:  Changed to Historic
    Edition date of last update:  Changed to 02/04/2022

  2. NDC Updates: The following table shows updates for NDC pairs.

Sale NDC11

Sale Proprietary Name

Sale Labeler

Sale Start Date

Sale End Date

Use NDC11

Use Start Date

Use End Date

  1. NDCs Retired – End Dates Added

00069-2392-10

Comirnaty

Pfizer Laboratories Div Pfizer Inc

9/11/2023

6/30/2024

00069-2392-01

6/30/2024

  1. NDC Start Dates Updated

49281-0590-01

MenQuadfi

Sanofi Pasteur Inc.

4/23/2020

49281-0590-58

4/23/2020

49281-0590-10

MenQuadfi

Sanofi Pasteur Inc.

4/23/2020

49281-0590-58

4/23/2020

49281-0590-05

MenQuadfi

Sanofi Pasteur Inc.

4/23/2020

49281-0590-58

4/23/2020

Centers for Disease Control and Prevention

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