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M1175 Doc medial rsn no hzv

M Codes

Also known as: medical contraindication to herpes zoster vaccine, zoster vaccine exemption

Documented medical reason for not administering herpes zoster vaccine.

In Plain Language

Medical reason for skipping shingles vaccine; Contraindication to HZV vaccination

Clinical Context

Quality measure documenting medical contraindication to herpes zoster vaccination such as immunocompromise or severe allergy.

RVU Information

CPT M1175 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

Preventive MedicineImmunologyGeriatrics

Frequently Asked Questions

What is CPT code M1175?

CPT M1175 (Doc medial rsn no hzv) is a M Codes code. Documented medical reason for not administering herpes zoster vaccine.

Is M1175 covered by insurance?

M1175 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure documenting medical contraindication to herpes zoster vaccination such as immunocompromise or severe allergy.

When is CPT M1175 used?

Quality measure documenting medical contraindication to herpes zoster vaccination such as immunocompromise or severe allergy.

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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.