M1219 – Anaphylaxis due to the vaccine on or before the date of the encounter
HCPCS Level II code · M codes: Medical Services and Quality Measures
HCPCS codeM1219
- Long description
- Anaphylaxis due to the vaccine on or before the date of the encounter
- Short description
- Anphx due to vax
- Pricing indicator
00Not separately priced by Part B (bundled, not covered or Part A only)- Medicare coverage
CCarrier judgment – coverage decided by the Medicare contractor- BETOS category
Z2Undefined codes- Added
- January 1, 2024
- Last change
- January 1, 2025 – No change
- Termination date
- December 31, 2024
Frequently asked questions
What is HCPCS code M1219?
M1219 is a HCPCS Level II code for anaphylaxis due to the vaccine on or before the date of the encounter. It was discontinued on December 31, 2024.
Does Medicare cover M1219?
The HCPCS file lists coverage code C: Carrier judgment – coverage decided by the Medicare contractor. Coverage and payment also depend on local coverage determinations and the patient’s plan.
Nearby M codes
- M1211 – Most recent glycemic status assessment (hba1c or gmi) level > 9.0%
- M1212 – Glycemic status assessment (hba1c or gmi) level is missing, or was not performed during the measurement period
- M1213 – No history of spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) and present spirometry is >= 70%
- M1214 – Spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) documented and reviewed
- M1215 – Documentation of medical reason(s) for not documenting and reviewing spirometry results (e.g., patients with dementia or tracheostomy)
- M1216 – No spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) documented and/or no spirometry performed with results documented during the encounter
- M1217 – Documentation of system reason(s) for not documenting and reviewing spirometry results (e.g., spirometry equipment not available at the time of the encounter)
- M1218 – Patient has copd symptoms (e.g., dyspnea, cough/sputum, wheezing)
- M1220 – Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist or artificial intelligence (ai) interpretation documented and reviewed; with evidence of retinopathy
- M1221 – Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist or artificial intelligence (ai) interpretation documented and reviewed; without evidence of retinopathy
- M1222 – Glaucoma plan of care not documented, reason not otherwise specified
- M1223 – Glaucoma plan of care documented
- M1224 – Intraocular pressure (iop) reduced by a value less than 20% from the pre-intervention level
- M1225 – Intraocular pressure (iop) reduced by a value of greater than or equal to 20% from the pre-intervention level
- M1226 – Iop measurement not documented, reason not otherwise specified
- M1227 – Evidence-based therapy was prescribed
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.