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M1176 No 2 hzv 10/2017-meas pd

M Codes

Also known as: no shingles vaccination, incomplete herpes zoster protection

Patient did not receive two doses of herpes zoster vaccine on or after age 50 during measurement period.

In Plain Language

Did not get shingles vaccine; Missed herpes zoster protection

Clinical Context

Quality measure denominator tracking patients age 50+ without appropriate herpes zoster vaccination series, indicating gap in preventive care.

RVU Information

CPT M1176 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 MedicinePrimary CareGeriatrics

Frequently Asked Questions

What is CPT code M1176?

CPT M1176 (No 2 hzv 10/2017-meas pd) is a M Codes code. Patient did not receive two doses of herpes zoster vaccine on or after age 50 during measurement period.

Is M1176 covered by insurance?

M1176 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure denominator tracking patients age 50+ without appropriate herpes zoster vaccination series, indicating gap in preventive care.

When is CPT M1176 used?

Quality measure denominator tracking patients age 50+ without appropriate herpes zoster vaccination series, indicating gap in preventive care.

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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.