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Common Z Codes for Vaccination Encounters Z20 - Contact with and (suspected) exposure to communicable diseases Z20.1 - Tuberculosis Z20.3 - Rabies Z20.4 - Rubella Z20.82 - Contact with and (suspected) exposure to other viral communicable diseases Z20.820 - Varicella Z20.828 - Contact with and (suspected) exposure to other viral communicable diseases Z20.81- * - Contact with and (suspected) exposure to other bacterial communicable diseases Z20.811 - Meningococcus Z20.9 - Contact with and (suspected) exposure to unspecified communicable diseases Z23 - Encounter for immunization Z51.89 - Encounter for other specified aftercare Z41.8 - Encounter for other procedures for purposes other than remedying health state Table 2: Immunization Not Carried Out and Underimmunization Status (Z28 Codes) Z28 - Immunization not carried out and underimmunization status Z28.0 - Immunization not carried out because of contraindication Z28.01 - Due to acute illness of patient Z28.02 - Due to chronic illness or condition of patient Z28.03 - Due to immunocompromised state of patient Z28.04 - Due to patient allergy to vaccine or component Z28.09 - Due to other contraindication Z28.1 - Immunization not carried out because of patient decision for reasons of belief or group pressure Z28.20 - Immunization not carried out because of patient decision for unspecified reason Z28.21 - Immunization not carried out because of patient refusal Z28.29 - Immunization not carried out because of patient decision for other reason Z28.81 - Immunization not carried out due to patient having had the disease Z28.82 - Immunization not carried out because of caregiver refusal (Excludes 1: caregiver refusal based on religious belief - Z28.1) Z28.83 - Immunization not carried out due to unavailability of vaccine Z28.89 - Immunization not carried out for other reason Current Procedural Terminology (CPT) and Medicare Coding for Vaccinations Vaccination Procedures A vaccination service includes two separate elements: Administration of the vaccine The vaccine product (drug) itself Administration may be performed by an obstetriciangynecologist or another qualified health care professional

4,6 While this reaction pattern is more common than previously suspected, it is still uncommon and the benefits of aluminum salt adjuvants are thought to outweigh the risks

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Instead, the emphasis is on using only methotrexate and avoiding corticosteroids as bridge drugs as much as possible due to their serious side effects