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Rt to match your our current physical inventory: (inventory + order DA) actual inventory (+ / transfers & returns). 4. Calculate your order up to at least a 5 week supply of vaccine. 5. Report doses administered totals with WHOLE NUMBERS ONLY. 6. Please retain copies of this report for three years. 7. Report state-supplied vaccine only. Questions? Please Call: (860) 509-7929. To download additional VOF s go to: www.ct.gov/dph/cvp Facility Name and Shipping Address Vaccine Brand & N.

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Measles, Mumps, and Rubella Vaccine, Live, Suspension for Subcutaneous Injection () HCPCS Code 90707: Billing Guidelines.

90714 Tetanus and diphtheria toxoids (Td) adsorbed, preservative free, when administered to individuals 7 years or older, for intramuscular use 90715 Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use 90716 Varicella virus vaccine ...

Special billing procedures apply to vaccines administered to persons under 19 years of age, who are eligible for the Vaccines For Children (VFC) Program.

The modifier “SL” indicates state-supplied vaccine.

Measles, Mumps and Rubella Vaccine, Live (MMR II®) The administration fee for the VFC Measles, Mumps and Rubella (MMR) vaccine) is billed with CPT code 90707 and modifier SL for all children 12 months through 18 years of age.

Measles, Mumps and Rubella Vaccine, Live (MMR II®) The administration fee for the VFC Measles, Mumps and Rubella (MMR) vaccine) is billed with CPT code 90707 and modifier SL for all children 12 months through 18 years of age.

Monitoring temperatures, ensuring that the temperatures are assessed and recorded twice daily, including AM min/max; AM assessment includes current Page 4 temperature and AM min/max (when the clinic opens), and the PM assessment includes current temperature (30-60 minutes before leaving for the day).

Non-Covered codes CodeDescription 90707 Mmr vaccine sc 90710 Mmrv vaccine sc 90713 Poliovirus ipv sc/im 90716 Var vaccine live subq29 more rows

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232