Patient did not receive both the 13-valent pneumococcal conjugate vaccine and the 23-valent pneumococcal polysaccharide vaccine at least 12 months apart, with the first occurrence after the age of 60 before or during measurement period; or have prior pneumococcal vaccine adverse reaction any time du
Short Description: No pneum vacc 12 mo 60+
Coverage Code: Carrier judgment
Action Code: Add procedure or modifier code
Date Added: January 1, 2020
Effective Date: January 1, 2020
Termination Date: