M1305 Pneum vax administration 19+
Also known as: pneumococcal vaccine given, pneumonia vaccine administered, pneumococcal immunization
Patient age 19 and older received pneumococcal vaccination. Documents completion of appropriate pneumococcal immunization.
In Plain Language
got pneumonia vaccine; pneumococcal shot received
Clinical Context
Preventive care quality measure documenting completion of pneumococcal vaccination in adults 65 and older and younger adults with chronic conditions.
RVU Information
CPT M1305 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 M1305?
CPT M1305 (Pneum vax administration 19+) is a M Codes code. Patient age 19 and older received pneumococcal vaccination. Documents completion of appropriate pneumococcal immunization.
Is M1305 covered by insurance?
M1305 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Preventive care quality measure documenting completion of pneumococcal vaccination in adults 65 and older and younger adults with chronic conditions.
When is CPT M1305 used?
Preventive care quality measure documenting completion of pneumococcal vaccination in adults 65 and older and younger adults with chronic conditions.
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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.