Immunizations for Adolescents (IMA) – HEDIS Measure
Answer the questions to confirm eligibility and compliance criteria, this is applicable to Medicaid and Commercial members only.
Does the member* turn 13 years of age during the measurement year?
Does the member meet compliance for the specified individual/combination immunization(s) as outlined in the table below?
| Table 1: Immunizations for Adolescents and Age Criteria | ||||||
|---|---|---|---|---|---|---|
| Immunization Age Criteria | Combination Measures | Individual Measures | ||||
| Combination 1 | Combination 2 | Meningococcal serogroups A, C, W, Y | Tdap | HPV | ||
| Meningococcal serogroups A, C, W, Y | On or between the 11th and 13th birthdays | Yes | Yes | Yes | - | - |
| Tdap | On or between the 10th and 13th birthdays | Yes | Yes | - | Yes | - |
| HPV* | On or between the 9th and 13th birthdays | - | Yes | - | - | Yes |
Member does not meet eligibility criteria to be included in measure
Billing Codes
-
CVX 32 108 114 136 147 167 203
Meningococcal Vaccine Procedure
CPT 90619 90733 90734
SNOMED CT US Edition 428271000124109 871874000 16298691000119102
-
Tdap Immunization
CVX 115
Tdap Vaccine Procedure
CPT 90715
SNOMED CT US Edition 428251000124104 390846000 412755006 412756007 412757003 571571000119105
-
HPV Immunization
CVX 62 118 137 165
HPV Vaccine Procedure
CPT 90649 90650 90651
SNOMED CT US Edition 428741008 428931000 429396009 734152003 717953009 724332002 761841000
Member meets compliance for this measure.