Hello all. I’m cross-posting this from the General forum due to lack of response there.

We have a patient who will be having a splenectomy in the near future and her doctor wants her to have meningococcal and Hib immunizations prior to surgery. Patient has no known exposure but is high risk due to her blood disorder and soon-to-be absence of a spleen.

I feel this is preventative use and we need only use ICD code Z23 to report the immunizations but want another opinion. Has anyone else dealt with this? Did you use Z23 or did you report the disease making the patient high-risk for infection?

Tracy