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Units: Report the appropriate units for the product and administration codes Immunization Coding: ICD-10-CM, CPT, and HCPCS Guidelines Medical coding for immunizations requires a three-pronged approach: ICD-10-CM (Z23) for the diagnosis (encounter for immunization), CPT codes to identify the specific vaccine product administered (e.g., 90656), and CPT or HCPCS codes for the administration service (e.g., 9047190474 or G-codes for Medicare)