M1419 Pt not up to date cov
Also known as: vaccination not current, preventive care gap, pt not up to date cov
Performance measure documenting patient is not up to date with recommended vaccinations or preventive services. Identifies preventive care gaps.
In Plain Language
Missing needed vaccinations; Preventive care needs attention
Clinical Context
Identifies patients who have not received timely vaccinations or preventive services per age and risk guidelines. Signals need for outreach.
RVU Information
CPT M1419 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 M1419?
CPT M1419 (Pt not up to date cov) is a M Codes code. Performance measure documenting patient is not up to date with recommended vaccinations or preventive services. Identifies preventive care gaps.
Is M1419 covered by insurance?
M1419 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Identifies patients who have not received timely vaccinations or preventive services per age and risk guidelines. Signals need for outreach.
When is CPT M1419 used?
Identifies patients who have not received timely vaccinations or preventive services per age and risk guidelines. Signals need for outreach.
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.