Menactra ‘alert': Use V64.05, V64.06 for patient/parent refusal

Article Overview

This premium article explains documentation and claim-reporting considerations that arose after a Menactra vaccine safety alert and a subsequent refusal of vaccination by a patient or caregiver. It is aimed at clinicians, coding staff, and billers who need to understand the general reporting context for vaccine-related encounters, secondary diagnosis reporting, and the broader family of ICD-9 V codes associated with vaccinations not carried out for various reasons. The article also places the discussion in the context of preventive visits, immunization encounters, and quality measurement tracking.