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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 compliance for this measure

Billing Codes

  • CVX
    108, 114, 136,147, 167
  • CPT® SNOMED CT US Edition
    90734 390892002
  • CVX
    115
  • CPT® SNOMED CT US Edition
    90715 428251000124104
  • CVX
    62, 118, 137, 165
  • CPT SNOMED CT US Edition
    90649, 90650, 90651 428570002, 428741008, 428931000, 429396009, 734152003, 734154002, 99501000119107, 140611000119104, 16300531000119107

Member meets compliance for this measure.