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M1238 Doc second recom hzv 2-6 mo int

M Codes

Also known as: shingles vaccine series recommended, HZV two-dose schedule

Documented 2-dose herpes zoster vaccine recommended with administration interval of 2-6 months.

In Plain Language

Shingles vaccine schedule recommended; Two-shot series with 2-6 month interval

Clinical Context

Immunization quality measure documenting recommendation for two-dose herpes zoster vaccine series with appropriate interval spacing.

RVU Information

CPT M1238 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 MedicineGeriatricsPrimary Care

Frequently Asked Questions

What is CPT code M1238?

CPT M1238 (Doc second recom hzv 2-6 mo int) is a M Codes code. Documented 2-dose herpes zoster vaccine recommended with administration interval of 2-6 months.

Is M1238 covered by insurance?

M1238 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Immunization quality measure documenting recommendation for two-dose herpes zoster vaccine series with appropriate interval spacing.

When is CPT M1238 used?

Immunization quality measure documenting recommendation for two-dose herpes zoster vaccine series with appropriate interval spacing.

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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.