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Packageus.nlm.vsac
Resource TypeValueSet
IdValueSet-2.16.840.1.113762.1.4.1235.346.json
FHIR VersionR4
Sourcehttps://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1235.346/expansion
URLhttp://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1235.346
Version20230808
Statusactive
Date2023-08-08T01:00:54-04:00
NameCOVID19Vaccine_HCPCS
TitleCOVID19 Vaccine_HCPCS
Realmus
Authorityhl7
Descriptionb.well created value set by Sr. Clinical Business Analyst for COVID-19 Vaccine.
Purpose(Clinical Focus: The intent of this value set is for the purpose of defining the clinical codes that constitute COVID-19 Vaccine for inclusion and utilization in patients/users connected heath.),(Data Element Scope: COVID-19 Vaccine for b.well.),(Inclusion Criteria: COVID-19 Vaccine Codes that constitute the Clinical Grouping Event for b.well.),(Exclusion Criteria: N/A)

Resources that use this resource

ValueSet
2.16.840.1.113762.1.4.1235.350COVID19 Vaccine_Event Clinical Grouping

Resources that this resource uses

CodeSystem
HCPCSReleaseCodeSetsHealthcare Common Procedure Coding System (HCPCS) level II alphanumeric codes

Narrative

No narrative content found in resource


Source1

{
  "resourceType": "ValueSet",
  "id": "2.16.840.1.113762.1.4.1235.346",
  "meta": {
    "versionId": "6",
    "lastUpdated": "2023-12-21T17:43:03.000-05:00",
    "profile": [
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  "extension": [
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      "valueDate": "2024-09-24"
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  "url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1235.346",
  "identifier": [
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      "value": "urn:oid:2.16.840.1.113762.1.4.1235.346"
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  ],
  "version": "20230808",
  "name": "COVID19Vaccine_HCPCS",
  "title": "COVID19 Vaccine_HCPCS",
  "status": "active",
  "date": "2023-08-08T01:00:54-04:00",
  "publisher": "B.well Connected Health Steward",
  "description": "b.well created value set by Sr. Clinical Business Analyst for COVID-19 Vaccine.",
  "jurisdiction": [
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      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "US"
        }
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    }
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  "purpose": "(Clinical Focus: The intent of this value set is for the purpose of defining the clinical codes that constitute COVID-19 Vaccine for inclusion and utilization in patients/users connected heath.),(Data Element Scope: COVID-19 Vaccine for b.well.),(Inclusion Criteria: COVID-19 Vaccine Codes that constitute the Clinical Grouping Event for b.well.),(Exclusion Criteria: N/A)",
  "compose": {
    "include": [
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "concept": [
          {
            "code": "0001A",
            "display": "Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine, mRNA-LNP, spike protein, preservative free, 30 mcg/0.3mL dosage, diluent reconstituted; first dose"
          },
          {
            "code": "0002A",
            "display": "Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine, mRNA-LNP, spike protein, preservative free, 30 mcg/0.3mL dosage, diluent reconstituted; second dose"
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            "display": "Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine, mRNA-LNP, spike protein, preservative free, 30 mcg/0.3mL dosage, diluent reconstituted; third dose"
          },
          {
            "code": "0004A",
            "display": "Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine, mRNA-LNP, spike protein, preservative free, 30 mcg/0.3mL dosage, diluent reconstituted; booster dose"
          },
          {
            "code": "0011A",
            "display": "Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine, mRNA-LNP, spike protein, preservative free, 100 mcg/0.5mL dosage; first dose"
          },
          {
            "code": "0012A",
            "display": "Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine, mRNA-LNP, spike protein, preservative free, 100 mcg/0.5mL dosage; second dose"
          },
          {
            "code": "0013A",
            "display": "Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine, mRNA-LNP, spike protein, preservative free, 100 mcg/0.5mL dosage; third dose"
          },
          {
            "code": "0021A",
            "display": "Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, dna, spike protein, chimpanzee adenovirus oxford 1 (chadox1) vector, preservative free, 5x1010 viral particles/0.5ml dosage; first dose"
          },
          {
            "code": "0022A",
            "display": "Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine, DNA, spike protein, chimpanzee adenovirus Oxford 1 (ChAdOx1) vector, preservative free, 5x1010 viral particles/0.5mL dosage; second dose"
          },
          {
            "code": "0031A",
            "display": "Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine, DNA, spike protein, adenovirus type 26 (Ad26) vector, preservative free, 5x1010 viral particles/0.5mL dosage; single dose"
          },
          {
            "code": "0034A",
            "display": "Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine, DNA, spike protein, adenovirus type 26 (Ad26) vector, preservative free, 5x1010 viral particles/0.5mL dosage; booster dose"
          },
          {
            "code": "0041A",
            "display": "Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5mL dosage; first dose"
          },
          {
            "code": "0042A",
            "display": "Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5mL dosage; second dose"
          },
          {
            "code": "0051A",
            "display": "Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine, mRNA-LNP, spike protein, preservative free, 30 mcg/0.3mL dosage, tris-sucrose formulation; first dose"
          },
          {
            "code": "0052A",
            "display": "Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine, mRNA-LNP, spike protein, preservative free, 30 mcg/0.3mL dosage, tris-sucrose formulation; second dose"
          },
          {
            "code": "0053A",
            "display": "Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine, mRNA-LNP, spike protein, preservative free, 30 mcg/0.3mL dosage, tris-sucrose formulation; third dose"
          },
          {
            "code": "0054A",
            "display": "Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine, mRNA-LNP, spike protein, preservative free, 30 mcg/0.3mL dosage, tris-sucrose formulation; booster dose"
          },
          {
            "code": "0064A",
            "display": "Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine, mRNA-LNP, spike protein, preservative free, 50 mcg/0.25mL dosage, booster dose"
          },
          {
            "code": "0071A",
            "display": "Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine, mRNA-LNP, spike protein, preservative free, 10 mcg/0.2mL dosage, diluent reconstituted, tris-sucrose formulation; first dose"
          },
          {
            "code": "0072A",
            "display": "Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine, mRNA-LNP, spike protein, preservative free, 10 mcg/0.2mL dosage, diluent reconstituted, tris-sucrose formulation; second dose"
          },
          {
            "code": "0073A",
            "display": "Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine, mRNA-LNP, spike protein, preservative free, 10 mcg/0.2mL dosage, diluent reconstituted, tris-sucrose formulation; third dose"
          },
          {
            "code": "0074A",
            "display": "Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine, mRNA-LNP, spike protein, preservative free, 10 mcg/0.2mL dosage, diluent reconstituted, tris-sucrose formulation; booster dose"
          },
          {
            "code": "0081A",
            "display": "Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine, mRNA-LNP, spike protein, preservative free, 3 mcg/0.2mL dosage, diluent reconstituted, tris-sucrose formulation; first dose"
          },
          {
            "code": "0082A",
            "display": "Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine, mRNA-LNP, spike protein, preservative free, 3 mcg/0.2mL dosage, diluent reconstituted, tris-sucrose formulation; second dose"
          },
          {
            "code": "0083A",
            "display": "Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine, mRNA-LNP, spike protein, preservative free, 3 mcg/0.2 mL dosage, third dose (6 months through 4 years)"
          },
          {
            "code": "0091A",
            "display": "Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (sarscov-2) (coronavirus disease [covid-19]) vaccine, mrna-lnp, spike protein, preservative free, 50 mcg/0.5 ml dosage; first dose, when administered to individuals 6 through 11 years"
          },
          {
            "code": "0092A",
            "display": "Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (sarscov-2) (coronavirus disease [covid-19]) vaccine, mrna-lnp, spike protein, preservative free, 50 mcg/0.5 ml dosage; second dose, when administered to individuals 6 through 11 years"
          },
          {
            "code": "0093A",
            "display": "Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (sarscov-2) (coronavirus disease [covid-19]) vaccine, mrna-lnp, spike protein, preservative free, 50 mcg/0.5 ml dosage; third dose, when administered to individuals 6 through 11 years"
          },
          {
            "code": "0094A",
            "display": "Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine, mRNA-LNP, spike protein, preservative free, 50 mcg/0.5 mL dosage, booster dose"
          },
          {
            "code": "0104A",
            "display": "Administration of coronavirus vaccine 11, reserved"
          },
          {
            "code": "0111A",
            "display": "Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine, mRNA-LNP, spike protein, preservative free, 25 mcg/0.25 mL dosage; first dose"
          },
          {
            "code": "0112A",
            "display": "Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine, mRNA-LNP, spike protein, preservative free, 25 mcg/0.25 mL dosage; second dose"
          },
          {
            "code": "0113A",
            "display": "Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) vaccine, mrna-lnp, spike protein, preservative free, 25 mcg/0.25 ml dosage; third dose"
          },
          {
            "code": "0124A",
            "display": "Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) vaccine, mrna-lnp, bivalent spike protein, preservative free, 30 mcg/0.3 ml dosage, tris-sucrose formulation, booster dose"
          },
          {
            "code": "0144A",
            "display": "Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) vaccine, mrnalnp, spike protein, bivalent, preservative free, 25 mcg/0.25 ml dosage, booster dose"
          },
          {
            "code": "0154A",
            "display": "Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) vaccine, mrna-lnp, bivalent spike protein, preservative free, 10 mcg/0.2 ml dosage, diluent reconstituted, tris-sucrose formulation, booster dose"
          },
          {
            "code": "0164A",
            "display": "Administration of coronavirus vaccine 17, reserved"
          },
          {
            "code": "0173A",
            "display": "Administration of coronavirus vaccine 18, reserved"
          },
          {
            "code": "91300",
            "display": "Severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine, mRNA-LNP, spike protein, preservative free, 30 mcg/0.3mL dosage, diluent reconstituted, for intramuscular use"
          },
          {
            "code": "91301",
            "display": "Severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine, mRNA-LNP, spike protein, preservative free, 100 mcg/0.5mL dosage, for intramuscular use"
          },
          {
            "code": "91302",
            "display": "Severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine, DNA, spike protein, chimpanzee adenovirus Oxford 1 (ChAdOx1) vector, preservative free, 5x1010 viral particles/0.5mL dosage, for intramuscular use"
          },
          {
            "code": "91303",
            "display": "Severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine, DNA, spike protein, adenovirus type 26 (Ad26) vector, preservative free, 5x1010 viral particles/0.5mL dosage, for intramuscular use"
          },
          {
            "code": "91304",
            "display": "Severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5mL dosage, for intramuscular use"
          },
          {
            "code": "91305",
            "display": "Severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine, mRNA-LNP, spike protein, preservative free, 30 mcg/0.3mL dosage, tris-sucrose formulation, for intramuscular use"
          },
          {
            "code": "91306",
            "display": "Severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine, mRNA-LNP, spike protein, preservative free, 50 mcg/0.25mL dosage, for intramuscular use"
          },
          {
            "code": "91307",
            "display": "Severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine, mRNA-LNP, spike protein, preservative free, 10 mcg/0.2mL dosage, diluent reconstituted, tris-sucrose formulation, for intramuscular use"
          },
          {
            "code": "91308",
            "display": "Severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine, mRNA-LNP, spike protein, preservative free, 3 mcg/0.2mL dosage, diluent reconstituted, tris-sucrose formulation, for intramuscular use"
          },
          {
            "code": "91309",
            "display": "Severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine, mRNA-LNP, spike protein, preservative free, 50 mcg/0.5 mL dosage, for intramuscular use"
          },
          {
            "code": "91310",
            "display": "Coronavirus vaccine 11"
          },
          {
            "code": "91311",
            "display": "Severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine, mRNA-LNP, spike protein, preservative free, 25 mcg/0.25 mL dosage, for intramuscular use"
          },
          {
            "code": "91312",
            "display": "Severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid19]) vaccine, mrna-lnp, bivalent spike protein, preservative free, 30 mcg/0.3 ml dosage, trissucrose formulation, for intramuscular use"
          },
          {
            "code": "91313",
            "display": "Severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid19]) vaccine, mrna-lnp, spike protein, bivalent, preservative free, 50 mcg/0.5 ml dosage, for intramuscular use"
          },
          {
            "code": "91314",
            "display": "Severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) vaccine, mrna-lnp, spike protein, bivalent, preservative free, 25 mcg/0.25 ml dosage, for intramuscular use"
          },
          {
            "code": "91315",
            "display": "Severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) vaccine, mrna-lnp, bivalent spike protein, preservative free, 10 mcg/0.2 ml dosage, diluent reconstituted, tris-sucrose formulation, for intramuscular use"
          },
          {
            "code": "91316",
            "display": "Coronavirus vaccine 17"
          },
          {
            "code": "91317",
            "display": "Coronavirus vaccine 18"
          }
        ]
      }
    ]
  },
  "expansion": {
    "identifier": "urn:uuid:a2a01897-eb4e-495c-ab00-ec1a948f0172",
    "timestamp": "2025-05-23T20:23:42-04:00",
    "total": 1,
    "contains": [
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version": "2025",
        "code": "91304",
        "display": "Severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, 5 mcg/0.5mL dosage, for intramuscular use"
      }
    ]
  }
}