M1173 Pt no rec td/tdap 9yrs prior
Also known as: no Tdap vaccination, missing tetanus booster
Patient did not receive tetanus-diphtheria or tetanus-diphtheria-acellular pertussis vaccine within 9 years prior to measurement period.
In Plain Language
Did not receive tetanus shot; No adult booster vaccination
Clinical Context
Quality measure denominator tracking patients with inadequate tetanus-diphtheria-acellular pertussis immunization status without documented contraindication.
RVU Information
CPT M1173 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 M1173?
CPT M1173 (Pt no rec td/tdap 9yrs prior) is a M Codes code. Patient did not receive tetanus-diphtheria or tetanus-diphtheria-acellular pertussis vaccine within 9 years prior to measurement period.
Is M1173 covered by insurance?
M1173 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure denominator tracking patients with inadequate tetanus-diphtheria-acellular pertussis immunization status without documented contraindication.
When is CPT M1173 used?
Quality measure denominator tracking patients with inadequate tetanus-diphtheria-acellular pertussis immunization status without documented contraindication.
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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.