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M1177 Pt recd pcv on/aft 19

M Codes

Also known as: PCV vaccination, pneumococcal conjugate immunization

Patient received pneumococcal conjugate vaccine on or after age 19 during measurement period.

In Plain Language

Pneumonia vaccine received; Pneumococcal protection

Clinical Context

Quality measure documenting appropriate pneumococcal conjugate vaccination in adults, preventing invasive pneumococcal disease including pneumonia and meningitis.

RVU Information

CPT M1177 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 CareInfectious Disease

Frequently Asked Questions

What is CPT code M1177?

CPT M1177 (Pt recd pcv on/aft 19) is a M Codes code. Patient received pneumococcal conjugate vaccine on or after age 19 during measurement period.

Is M1177 covered by insurance?

M1177 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure documenting appropriate pneumococcal conjugate vaccination in adults, preventing invasive pneumococcal disease including pneumonia and meningitis.

When is CPT M1177 used?

Quality measure documenting appropriate pneumococcal conjugate vaccination in adults, preventing invasive pneumococcal disease including pneumonia and meningitis.

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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.