M1418 Medial rsn not up to date cov
Also known as: medical contraindication vaccine, medical reason not vaccinated, med rsn not up to date
Performance measure documenting medical reason why patient is not up to date with vaccinations or preventive services. Captures appropriate exceptions.
In Plain Language
Doctor's reason vaccination skipped; Medical reason no vaccine given
Clinical Context
Documents medical contraindications to vaccines or preventive services such as severe allergies, immunocompromise, or active infection.
RVU Information
CPT M1418 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 M1418?
CPT M1418 (Medial rsn not up to date cov) is a M Codes code. Performance measure documenting medical reason why patient is not up to date with vaccinations or preventive services. Captures appropriate exceptions.
Is M1418 covered by insurance?
M1418 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Documents medical contraindications to vaccines or preventive services such as severe allergies, immunocompromise, or active infection.
When is CPT M1418 used?
Documents medical contraindications to vaccines or preventive services such as severe allergies, immunocompromise, or active infection.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against national data — all in one app.
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.