M1064 – Shingrix vaccine documented as administered or previously received

Long description

Shingrix vaccine documented as administered or previously received

Short description

Shing vac doc adm or pv rec

Pricing indicator

00 Not separately priced by Part B (bundled, not covered or Part A only)

Medicare coverage

C Carrier judgment – coverage decided by the Medicare contractor

BETOS category

Z2 Undefined codes

Added

January 1, 2019

Last change

January 1, 2021 – No change

Termination date

December 31, 2020

Nearby M codes

• M1056 – Prescribed anticoagulant medication during the performance period, history of gi bleeding, history of intracranial bleeding, bleeding disorder and specific provider documented reasons: allergy to aspirin or anti-platelets, use of non-steroidal anti-inflammatory agents, drug-drug interaction, uncontrolled hypertension > 180/110 mmhg or gastroesophageal reflux disease
• M1057 – Aspirin or another antiplatelet therapy not used, reason not given
• M1058 – Patient was a permanent nursing home resident at any time during the performance period
• M1059 – Patient was in hospice or receiving palliative care at any time during the performance period
• M1060 – Patient died prior to the end of the performance period
• M1061 – Patient pregnancy
• M1062 – Patient immunocompromised
• M1063 – Patients receiving high doses of immunosuppressive therapy
• M1065 – Shingrix vaccine was not administered for reasons documented by clinician (e.g. patient administered vaccine other than shingrix, patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons)
• M1066 – Shingrix vaccine not documented as administered, reason not given
• M1067 – Hospice services for patient provided any time during the measurement period
• M1068 – Adults who are not ambulatory
• M1069 – Patient screened for future fall risk
• M1070 – Patient not screened for future fall risk, reason not given
• M1071 – Patient had any additional spine procedures performed on the same date as the lumbar discectomy/laminotomy
• M1106 – The start of an episode of care documented in the medical record