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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

Some laboratory references suggest using opened Sterile Water immediately to minimise contamination risk

Units to mL 100 units = 1 mL on a U-100 syringe

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Because Ocrevus Zunovo may decrease the effectiveness of vaccines, its recommended that patients receive all appropriate vaccinations at least two to four weeks before treatment is initiated