M1179 No pcv recd
Also known as: no PCV vaccination, incomplete pneumococcal protection
Patient did not receive pneumococcal conjugate vaccine during measurement period.
In Plain Language
Did not receive pneumonia vaccine; Missed pneumococcal protection
Clinical Context
Quality measure denominator tracking patients without appropriate pneumococcal conjugate vaccination, indicating gap in preventive immunization.
RVU Information
CPT M1179 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 M1179?
CPT M1179 (No pcv recd) is a M Codes code. Patient did not receive pneumococcal conjugate vaccine during measurement period.
Is M1179 covered by insurance?
M1179 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure denominator tracking patients without appropriate pneumococcal conjugate vaccination, indicating gap in preventive immunization.
When is CPT M1179 used?
Quality measure denominator tracking patients without appropriate pneumococcal conjugate vaccination, indicating gap in preventive immunization.
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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.