Childhood Immunization Status (CIS) (Combination 10) – HEDIS Measure
Answer the questions to confirm eligibility and compliance criteria, this is applicable to Medicaid and Commercial members only.
Does the member* turn 2 years of age during the measurement year?
Does the member have ALL of the following vaccinations (Combination 10*) administered or documentation of history of the illness, as applicable, on or before his/her 2nd birthday?
Documentation of:
- 4 DTaP vaccinations
- 3 IPV vaccinations
- 1 MMR vaccination (or history of illness)
- 3 HiB vaccinations (Haemophilus Influenzae Type B)
- 3 Hepatitis B vaccinations (or history of illness)
- 1 Varicella vaccination (VZV) (or history of illness)
- 4 Pneumococcal Conjugate vaccinations
- 1 Hepatitis A vaccination (or history of illness)
- 2-dose or 3-dose Rotavirus vaccinations**
- 2 Influenza vaccinations
Member does not meet compliance for this measure
How to meet compliance
For a member to meet compliance for this measure, have ALL of the following vaccinations (Combination 10) administered or documentation of history of the illness, as applicable on or before his/her 2nd birthday.
Billing Codes
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Inactivated Polio Vaccine Administered CPT® CVX SNOMED CT 90698, 90713, 90723 10, 89, 110, 120 396456003, 414001002, 414259000, 414619005, 414620004, 415507003, 415712004, 416144004, 416591003, 417211006, 417384007, 417615007 -
DTaP Vaccine Administered CPT® CVX SNOMED CT 90698, 90700, 90723 20, 50, 106, 107, 110, 120 170395004, 170396003, 170397007, 170399005, 170400003, 170401004, 170402006, 310306005, 310307001, 310308006, 312870000, 313383003, 390846000, 390865008, 399014008, 412755006, 412756007, 412757003, 412762002, 412763007, 412764001, 414001002, 414259000, 414620004, 415507003, 415712004, 770608009, 770616000, 770617009, 770618004, 787436003, 787438002, 428251000124104, 571571000119105, 572561000119108, 16290681000119103, 16298561000119108 -
HiB Vaccine Administered CPT® CVX SNOMED CT 90644, 90647, 90648, 90698, 90748 17, 46, 47, 48, 49, 50, 51, 120, 148 127787002, 170343007, 170344001, 170345000, 170346004, 310306005, 310307001, 310308006, 312869001, 312870000, 414001002, 414259000, 415507003, 415712004, 770608009, 770616000, 770617009, 770618004, 786846001, 787436003, 787438002 -
Hepatitis B Vaccine Administered CPT® CVX HCPCS SNOMED CT 90723, 90740, 90744, 90747, 90748 08, 44, 45, 51, 110 G0010 16584000, 170370000, 170371001, 170372008, 170373003, 170434002, 170435001, 170436000, 170437009, 312868009, 396456003, 770608009, 770616000, 770617009, 770618004, 786846001, 787438002, 572561000119108 Hepatitis B illness ICD10CM SNOMED CT: B16.0, B16.1, B16.2, B16.9, B17.0, B18.0, B18.1, B19.10, B19.11 1116000, 13265006, 26206000, 38662009, 50167007, 53425008, 60498001, 61977001, 66071002, 76795007, 111891008, 165806002, 186624004, 186626002, 186639003, 235864009, 235865005, 235869004, 235871004, 271511000, 313234004, 406117000, 424099008, 424340000, 442134007, 442374005, 446698005, 153091000119109 Newborn Hepatitis B Vaccine Administered ICD9PCS: SNOMED CT: ICD10: 99.55 170370000, 426980004 3E0234Z -
Pneumococcal Conjugate Vaccine Administered CPT® CVX HCPCS SNOMED CT 90670 133, 152 G0009 434751000124102 -
Varicella Zoster Vaccine Administered CPT® CVX SNOMED CT 90710, 90716 21, 94 425897001,428502009, 473164004, 571611000119101 Varicella Zoster illness ICD10CM SNOMED CT: B01.0, B01.11, B01.12, B01.2, B01.81, B01.89, B01.9, B02.0,B02.1, B02.21, B02.22, B02.23, B02.24, B02.29, B02.30, B02.31, B02.32, B02.33, B02.34, B02.39, B02.7, B02.8, B02.9 4740000, 10698009, 21954000, 23737006, 24059009, 36292003, 38907003, 42448002, 49183009, 55560002, 87513003, 111859007, 111861003, 161423008, 186524006, 186525007, 195911009, 230176008, 230198004, 230262004, 230536009, 232400003, 235059009, 240468001, 240470005, 240471009, 240472002, 240473007, 240474001, 309465005, 371113008, 397573005, 400020001, 402897003, 402898008, 402899000, 410500004, 410509003, 421029004, 422127002, 422446008, 422471006, 422666006, 423333008, 423628002, 424353002, 424435009, 424801004, 424941009, 425356002, 426570007, 428633000, 713250002, 713733003, 713964006, 715223009, 723109003, 12551000132107, 12561000132105, 12571000132104, 331071000119101, 681221000119108, 15678761000119105, 15678801000119102, 15680201000119106, 15685201000119100, 15685281000119108, 15680241000119108, 15685081000119102, 15685121000119100, 15936581000119108, 15936621000119108, 15989271000119107, 15989311000119107, 15989351000119108, 15991711000119108, 15991791000119104 -
Hepatitis A Vaccine Administered CPT® CVX SNOMED CT 90633 31, 83, 85 170378007, 170379004, 170380001, 170381002, 170434002, 170435001, 170436000, 170437009, 243789007, 312868009, 313188000, 313189008, 314177003, 314178008, 314179000, 394691002, 412742005, 412743000, 571511000119102 Hepatitis A illness ICD10CM SNOMED CT: B15.0, B15.9 16060001, 18917003, 25102003, 40468003, 43634002, 79031007, 111879004, 165997004, 206373002, 278971009, 310875001, 424758008, 428030001, 105801000119103 -
Influenza Vaccine Administered CPT® CVX HCPCS SNOMED CT 90655, 90657, 90661, 90673, 90685, 90686, 90687, 90688, 90660, 90672, 90689 88, 140, 141, 150, 153, 158, 161, 111, 149, 155 G0008 86198006, 786847005; 787016008 Influenza Virus LAIV Immunization CVX 111, 149 Influenza Virus LAIV Vaccine Procedure CPT® 90660, 90672 -
MMR Vaccine Administered CPT® CVX SNOMED CT 90707, 90710 03, 94 38598009, 170433008, 432636005, 433733003, 150971000119104, 571591000119106, 572511000119105 Measles/Rubella Vaccine Administered CPT® CVX 90708 04 -
Measles Vaccine Administered CPT® CVX SNOMED CT 90705 05 47435007, 170364006, 572481000119103 Measles illness ICD10CM SNOMED CT: B05.0, B05.1, B05.2, B05.3, B05.4, B05.81, B05.89, B05.9 14189004, 28463004, 38921001, 60013002, 74918002, 111873003, 161419000, 186561002, 186562009, 195900001,240483006, 240484000, 371111005, 406592004, 417145006, 105841000119101 -
Mumps Vaccine Administered CPT® CVX SNOMED CT 90704 07 50583002 Mumps illness ICD10CM SNOMED CT: B26.0, B26.1, B26.2, B26.3, B26.81, B26.82, B26.83, B26.84, B26.85, B26.89, B26.9 SNOMED: 10665004, 17121006, 31524007, 31646008, 36989005, 40099009, 44201003, 63462008, 72071001, 74717002, 75548002, 78580004, 89231008, 89764009, 111870000, 161420006, 235123001, 236771002, 237443002, 240526004, 240527008, 240529006, 371112003, 105821000119107 -
Rotavirus Vaccine (2 Dose Schedule) Administered CPT® CVX SNOMED CT 90681 119 434741000124104 Rotavirus Vaccine (3 Dose Schedule) Administered CPT® CVX SNOMED CT 90680 116, 122 434731000124109 -
Rubella Vaccine Administered CPT® CVX SNOMED CT 90706 06 82314000 Rubella illness ICD10 SNOMED CT: B06.00, B06.01, B06.02, B06.09, B06.81, B06.82, B06.89, B06.9 10082001, 13225007, 19431000, 36653000, 51490003, 64190005, 79303006, 84611003, 111867004, 128191000, 161421005, 165792000, 186567003, 186570004, 192689006, 231985001, 232312000, 240485004, 253227001, 406112006, 406113001, 1092361000119109, 10759761000119100 Rubella Antibody CPT® 86762
Member meets compliance for this measure.