M1172 Doc medial rsn no td/tdap
Also known as: medical contraindication to Tdap, TD vaccine exemption
Documented medical reason for not administering tetanus-diphtheria or tetanus-diphtheria-acellular pertussis vaccine.
In Plain Language
Medical reason for skipping tetanus shot; Documented contraindication to Tdap
Clinical Context
Quality measure documenting medical contraindication preventing tetanus-diphtheria-acellular pertussis vaccination such as severe allergy.
RVU Information
CPT M1172 does not have a physician work RVU assigned by CMS. Reimbursement for this code is determined by payer-specific fee schedules.
Billing & Documentation
M-codes cover quality measures and performance reporting. They are used in value-based care programs to track whether specific clinical actions were taken. Documentation must support that the measured action was performed or a valid exclusion applies.
Specialties
Frequently Asked Questions
What is CPT code M1172?
CPT M1172 (Doc medial rsn no td/tdap) is a M Codes code. Documented medical reason for not administering tetanus-diphtheria or tetanus-diphtheria-acellular pertussis vaccine.
Is M1172 covered by insurance?
M1172 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure documenting medical contraindication preventing tetanus-diphtheria-acellular pertussis vaccination such as severe allergy.
When is CPT M1172 used?
Quality measure documenting medical contraindication preventing tetanus-diphtheria-acellular pertussis vaccination such as severe allergy.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against national data — all in one app.
CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.