M1162 – Patient had encephalitis due to the tetanus, diphtheria or pertussis vaccine any time on or before the patient's 13th birthday

Long description

Patient had encephalitis due to the tetanus, diphtheria or pertussis vaccine any time on or before the patient's 13th birthday

Short description

Pt enceph due to dtp bef 13

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, 2023

Last change

January 1, 2023 – No change

Nearby M codes

• M1154 – Hospice services provided to patient any time during the measurement period
• M1155 – Patient had anaphylaxis due to the pneumococcal vaccine any time during or before the measurement period
• M1156 – Patient received active chemotherapy any time during the measurement period
• M1157 – Patient received bone marrow transplant any time during the measurement period
• M1158 – Patient had history of immunocompromising conditions prior to or during the measurement period
• M1159 – Hospice services provided to patient any time during the measurement period
• M1160 – Patient had anaphylaxis due to the meningococcal vaccine any time on or before the patient's 13th birthday
• M1161 – Patient had anaphylaxis due to the tetanus, diphtheria or pertussis vaccine any time on or before the patient's 13th birthday
• M1163 – Patient had anaphylaxis due to the hpv vaccine any time on or before the patient's 13th birthday
• M1164 – Patients with dementia any time during the patient's history through the end of the measurement period
• M1165 – Patients who use hospice services any time during the measurement period
• M1166 – Pathology report for tissue specimens produced from wide local excisions or re-excisions
• M1167 – In hospice or using hospice services during the measurement period
• M1168 – Patient received an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period
• M1169 – Documentation of medical reason(s) for not administering influenza vaccine (e.g., prior anaphylaxis due to the influenza vaccine)
• M1170 – Patient did not receive an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period