Immunization records are available on-line through the Primary Care Center's
GURU application for display, analysis, and printing.
The immunizations are entered into the database through a process of uploading
ICD-9 codes. Specifically:
- Administered immunizations are marked on a Primary Care Center Charge
Requisition Form.
- The associated ICD-9 codes are entered into the hospital billing system
(SMS).
- On a weekly basis, SMS automatically generates a report which searches through all
patients entered from a defined, recent 2-week period, selects those who have
been seen in a Primary Care Center clinic (including Braddock, Turtle Creek,
Wilkinsburg, and FIC) plus any other additional children who have
received immunizations within the hospital system (thereby having billing
information entered), and saves all relevant information to a download
file.
- This weekly download file is available for processing by GURU to upload
the report information into all of the appropriate clinical database fields, which
includes not only immunizations but also problem lists, insurance info,
and demographic info.
The primary advantage to this method is that it eliminates the need for
additional data entry into an immunization tracking system, since information
can be extracted from billing codes which would be entered anyway.
There are, however, several disadvantages:
ICD-9 Code | ICD-9 Description |
V03 Need for prophylactic vaccination and inoculation
against bacterial diseases |
V03.5 | Diphtheria alone |
V03.6 | Pertussis alone |
V03.7 | Tetanus toxoid alone |
V03.8 | Other specified vaccinations against single bacterial diseases |
V03.81 | Hemophilus influenza, type B [Hib] |
V03.82 | Streptococcus pneumoniae [pneumococcus] |
V03.89 | Other specified vaccination |
V03.9 | Unspecified single bacterial disease |
V04 Need for prophylactic vaccination and inoculation
against certain diseases |
V04.0 | Poliomyelitis |
V04.8 | Influenza |
V05 Need for prophylactic vaccination and inoculation
against single diseases |
V05.3 | Viral Hepatitis |
V05.4 | Varicella |
V05.8 | Other specified disease |
V05.9 | Unspecified single disease |
V06 Need for prophylactic vaccination and inoculation
against combinations of diseases |
V06.1 | Diphtheria-tetanus-pertussis, combined [DTP] |
V06.3 | Diphtheria-tetanus-pertussis with poliomyelitis [DTP+polio] |
V06.4 | Measles-mumps-rubella [MMR] |
V06.5 | Tetanus-diphtheria [Td] |
V06.8 | Other combinations |
V06.9 | Unspecified combined vaccine |
V07 Need for isolation and other prophylactic measures |
V07.2 | Prophylactic immunotherapy |
V07.8 | Other specified prophylactic measure |
If the download method of immunization data entry is continued at CHP, the
accuracy and integrity of the ICD-9 codes on the Charge Requisition Form is
critical for the successful creation of valid patient immunization records.
The following table summarizes past and present ICD-9 immunization codes
and includes proposals for changes to the current (7/99) Charge
Requisition Form which will help maintain this data integrity.
Immunizations on 7/99 Charge Form |
Code(s) on Previous Form (dated 5/6/97) |
Code(s) on Current Form (dated 7/99) |
Proposed ICD-9 Code(s) and Reason(s) |
Comvax | (none) | V03.89 & V05.3 |
V03.81 & V05.3
New code specifically for Hib |
DT | V03.5 & V03.7 | V03.5 & V03 |
V06.5
New code specifically for DT combination |
DTaP | V06.1 | V06.1 | (<-- same) |
DTP | V06.1 | V06.1 | (<-- same) |
Hep A | (none) | V05.3 |
V05.9
Using 'Unspecified' to differentiate from HepB |
Hep B | V05.8 | V05.3 | (<-- same) |
Hib | V03.8 | V03.89 |
V03.81
New code specifically for Hib |
Influenza | V04.8 | V04.8 | (<-- same) |
IPV | V04.0 | V04.0 | (<-- same) |
Meningococcal | V02.5 | V02.5 |
V03.9
Current code is for a carrier of meningococcus
Using 'Unspecified' for improved accuracy |
MMR | V06.4 | V06.4 | (<-- same) |
OPV | V04.0 | V04.0 | (<-- same) |
Pneumococcal | V06.9 | V06.9 |
V03.82
New code specifically for Pneumococcus |
PPD | V74.1 | V04.1 |
V74.1
Correction of typo in current form
(V04.1 is for Smallpox vaccination!) |
Rotavirus | (none) | V05.8 | (<-- same) |
Synagis | (none) | V05.8 |
V07.2
More accurate description of product
Differentiates from Rotavirus coding |
Td | V03.5 & V03.7 | V03.5 & V03.7 |
V06.5
New code specifically for DT combination |
Tetramune | V06.1 & V03.8 | V06.1 & V03.89 |
V06.1 & V03.81
New code specifically for Hib |
Varicella | V05.4 | V05.4 | (<-- same) |
VZIG | | |
V07.8
An appropriate code for therapy
Differentiates from Synagis coding |
|