|CPT Code (Product):||90750|
|CPT Code (Administration)
1 vaccine administered:
|Each additional vaccine administered during same encounter:||90472|
|ICD-10-CM Code (Encounter for Immunization):||Z23|
|Administration Modifier for Medicare:||GY|
The CDC also created CVX code 188 for "zoster vaccine, unspecified formulation" to facilitate transmission of administration data
when the exact formulation of the vaccine is not known (such as when recording data from a vaccination card).
CDC=Centers for Disease Control and Prevention.
SHINGRIX is supplied as an outer package of 1 dose (NDC 58160-819-12) containing:
Adjuvant Suspension Component (Vial 1 of 2) NDC 58160-829-01
Lyophilized gE Antigen Component (Vial 2 of 2) NDC 58160-828-01
SHINGRIX is supplied as an outer package of 10 doses (NDC 58160-823-11) containing:
Adjuvant Suspension Component (10 vials) NDC 58160-829-03
Lyophilized gE Antigen Component (10 vials) NDC 58160-828-03
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1004182R0 April 2018