M1306 Pt anphx due to pneum
Also known as: pneumococcal anaphylaxis, vaccine allergy contraindication, severe pneumococcal reaction
Patient with anaphylaxis history due to pneumococcal vaccine components. Records severe allergic reaction contraindication to pneumococcal vaccination.
In Plain Language
severe allergic reaction to pneumonia vaccine; can't get pneumococcal vaccine
Clinical Context
Quality measure exception documenting medical contraindication to pneumococcal vaccination due to documented severe allergic reaction.
RVU Information
CPT M1306 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 M1306?
CPT M1306 (Pt anphx due to pneum) is a M Codes code. Patient with anaphylaxis history due to pneumococcal vaccine components. Records severe allergic reaction contraindication to pneumococcal vaccination.
Is M1306 covered by insurance?
M1306 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure exception documenting medical contraindication to pneumococcal vaccination due to documented severe allergic reaction.
When is CPT M1306 used?
Quality measure exception documenting medical contraindication to pneumococcal vaccination due to documented severe allergic reaction.
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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.