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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

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Hindelang C, Felix JM, Laurent FM, Klein MJ, Stoeckel ME (1990)

Tetrahedron Lett 58:36953699 Nogle LM, Gerwick WH (2002) Somocystinamide A, a novel cytotoxic disulfide dimer from a fijian marine cyanobacterial mixed assemblage

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