M1178 Doc medial rsn no pcv
Also known as: medical contraindication to PCV, pneumococcal vaccine exemption
Documented medical reason for not administering pneumococcal conjugate vaccine.
In Plain Language
Medical reason for skipping pneumonia vaccine; Contraindication to PCV
Clinical Context
Quality measure documenting medical contraindication to pneumococcal conjugate vaccination such as severe allergy.
RVU Information
CPT M1178 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 M1178?
CPT M1178 (Doc medial rsn no pcv) is a M Codes code. Documented medical reason for not administering pneumococcal conjugate vaccine.
Is M1178 covered by insurance?
M1178 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure documenting medical contraindication to pneumococcal conjugate vaccination such as severe allergy.
When is CPT M1178 used?
Quality measure documenting medical contraindication to pneumococcal conjugate vaccination such as 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.