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CMS147v7 Code List

Code List: CMS147v7, 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.

This user-friendly code list is provided as a courtesy to our MicroMD users.  For more in-depth information about codes and/or criteria or to compare version changes, visit the CMS eCQI Resource Center at https://ecqi.healthit.gov/ (no user account required) or the United States Health Information Knowledgebase at https://ushik.ahrq.gov/mdr/portals (requires a free user account to view codes).

Item Codes
Encounter Codes
Encounter, Performed: Annual Wellness Visit: HCPCS G0438, G0439
Encounter, Performed: Care Services in Long-Term Residential Facility: CPT 99324, 99325, 99326, 99327, 99328, 99334, 99335, 99336, 99337
Encounter, Performed: Preventive Care- Initial Office Visit, 0 to 17: CPT 99381, 99382, 99383, 99384
Encounter, Performed: Preventive Care – Established Office Visit, 0 to 17: CPT 99391, 99392, 99393, 99394
Encounter, Performed: Preventive Care Services-Initial Office Visit, 18 and Up: CPT 99385, 99386, 99387
Encounter, Performed: Preventive Care Services – Established Office Visit, 18 and Up: CPT 99395, 99396, 99397
Encounter, Performed: Preventive Care Services – Group Counseling: CPT 99411, 99412
Encounter, Performed: Preventive Care Services – Other: CPT 99429
Encounter, Performed: Preventive Care Services-Individual Counseling: CPT 99401, 99402, 99403, 99404
Encounter, Performed: Discharge Services – Nursing Facility: CPT 99315, 99316
Encounter, Performed: Face-to-Face Interaction: SNOMED 12843005, 18170008, 185349003, 185463005, 185465003, 19681004, 207195004, 270427003, 270430005, 308335008, 390906007, 406547006, 439708006, 87790002, 90526000
Encounter, Performed: Home Healthcare Services: CPT 99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349, 99350
Encounter, Performed: Nursing Facility Visit: CPT 99304, 99305, 99306, 99307, 99308, 99309, 99310
Encounter, Performed: Office Visit: CPT 99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215
Encounter, Performed: Outpatient Consultation: CPT 99241, 99242, 99243, 99244, 99245
Encounter, Performed: Patient Provider Interaction: SNOMED 11797002, 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
Encounter, Performed: Encounter-Influenza: HCPCS G0438, G0439
Encounter, Performed: Encounter-Influenza: CPT 99201, 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, 99429
Encounter, Performed: Encounter-Influenza: SNOMED 12843005, 18170008, 185349003, 185463005, 185465003, 19681004, 207195004, 270427003, 270430005, 308335008, 390906007, 406547006, 439708006, 87790002, 90526000
Dialysis Codes
Procedure, Performed: Peritoneal Dialysis: CPT 90945, 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: SNOMED 14684005, 225230008, 238318009, 238319001, 238321006, 238322004, 238323009, 428648006, 676002, 71192002
Procedure, Performed: Hemodialysis: CPT 90951, 90952, 90953, 90954, 90955, 90956, 90957, 90958, 90959, 90960, 90961, 90962, 90963, 90964, 90965, 90966, 90967, 90968, 90969, 90970, 99512
Procedure, Performed: Hemodialysis: SNOMED 302497006
Immunization Codes
Immunization, Administered: Influenza Vaccine: CVX 88, 135, 140, 141, 144, 150, 153, 155, 158, 161, 166, 168, 171, 185
Procedure, Performed: Influenza Vaccination: HCPCS
(same code set for Procedure, Intolerance)
G0008, Q2034, Q2035, Q2036, Q2037, Q2038, Q2039
Procedure: Influenza Vaccination: CPT
(same code set for Procedure, Intolerance)
90685, 90686, 90687, 90688, 90653, 90654, 90655, 90656, 90657, 90658, 90660, 90661, 90662, 90664, 90666, 90667, 90668, 90672, 90630, 90673
Procedure: Influenza Vaccination: SNOMED
(same code set for Procedure, Intolerance)
86198006
Communication of Prior Receipt
Communication: From Patient to Provider: Previous Receipt of Influenza Vaccine: SNOMED 185900003, 185901004, 185902006, 416928007
Exception Codes
Communication: From Patient to Provider: Influenza Vaccination Declined: SNOMED 315640000
Reason Codes for not Performing: Medical Reason: SNOMED Absent response to treatment (266721009)
Adverse reaction caused by drug (62014003)
Complication of medical care (35688006)
Contraindicated (410536001)
Drug allergy (416098002)
Drug interaction (79899007)
Drug intolerance (59037007)
Drug resistance (31438003)
Drug therapy discontinued (274512008)
Drug treatment not indicated (183966005)
Failure in dosage (216952002)
Late effect of medical and surgical care complication (269191009)
Medical contraindication (397745006)
Not indicated (410534003)
Procedure contraindicated (183932001)
Procedure discontinued (416406003)
Procedure not indicated (428119001)
Treatment changed (445528004)
Treatment modification (371133007)
Treatment not indicated (183964008)
Treatment not tolerated (407563006)
Reason Codes for not Performing: Patient Reason: SNOMED Did not attend (281399006)
Dissatisfied with doctor (185481008)
Drug declined by patient (182895007)
Drug declined by patient – cannot pay script (182902003)
Drug declined by patient – patient beliefs (182900006)
Drug declined by patient – side effects (182897004)
Drugs not taken/completed (266710000)
Family illness (266966009)
Financial circumstances change (160934006)
Financial problem (160932005)
Further opinion sought (310343007)
Income insufficient to buy necessities (423656007)
Income sufficient to buy only necessities (424739004)
Medication refused (406149000)
Patient defaulted from follow-up (275694009)
Patient dissatisfied with result (185479006)
Patient forgets to take medication (408367005)
Patient has moved away (184081006)
Patient noncompliance – general (275936005)
Patient non-compliant – refused access to services (413310006)
Patient non-compliant – refused intervention / support (413311005)
Patient non-compliant – refused service (413312003)
Patient requests alternative treatment (182890002)
Patient self-discharge against medical advice (225928004)
Procedure discontinued by patient (713247000)
Procedure not wanted (416432009)
Procedure refused (183944003)
Procedure refused for religious reason (183945002)
Refusal of treatment by patient (105480006)
Refused (443390004)
Rejected by recipient (385648002)
Treatment delay – patient choice (373787003)
Variable income (224187001)
Reason Codes for not Performing: System Reason: SNOMED Appointment canceled by hospital (185335007)
Delay in receiving benefits (224198000)
Drug not available – out of stock (182856006)
Drug not available for administration (242990004)
Drug not available-off market (182857002)
Finding related to health insurance issues (419808006)
Loss of benefits (224199008)
Medical care unavailable (266756008)
Not entitled to benefits (224194003)
Patient on waiting list (270459005)
Patient transfer (107724000)
Referred to doctor (309017000)
Treatment not available (309846006)
Uninsured medical expenses (424553001)
Diagnosis: Allergy to eggs: ICD-9 995.68, V15.03
Diagnosis: Allergy to eggs: ICD-10 T78.08XA, T78.08XD, T78.08XS, Z91.012
Diagnosis: Allergy to eggs: SNOMED 213020009, 91930004
Diagnosis: Allergy to Influenza Vaccine: SNOMED 294647003, 294648008, 294649000
Diagnosis: Intolerance to Influenza Vaccine: SNOMED 293112000, 293113005, 390796006, 420113004
Substance, Allergy: Egg Substance Dried egg (226881001); Dried egg white (229955000); Egg product (414074006); Egg protein (303300008); Egg white (256443002); Egg yolk (256442007); Eggs (edible) (102263004); Hen’s egg (286550009); Raw egg (226885005)

Last updated: September 17, 2018 at 11:00 am