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A compliant 90471 encounter should include Dose administered Patient or guardian consent Provider signature or e-signature Injection site (left deltoid, right thigh, etc.) Route (IM, SQ, intradermal, or percutaneous) Observation period and any adverse reactions noted Vaccine name, manufacturer, lot number, and expiration date Vaccine Information Statement (VIS) provided to the patient (federal law requires VIS distribution for all CDC-covered vaccines) The ICD-10 code Z23 ( Encounter for immunization ) is the standard diagnosis pairing for routine preventive vaccines
Among 46 studies in the remote follow-up domain, 43 trials (93.5%) utilized synchronous tools, such as video calls and remote counseling, to provide clinical guidance where in-person visits were not feasible
Archived from the original on March 27, 2023