M1306 – Patient had anaphylaxis due to the pneumococcal vaccine any time during or before the measurement period

Long description

Patient had anaphylaxis due to the pneumococcal vaccine any time during or before the measurement period

Short description

Pt anphx due to pneum

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, 2024

Last change

January 1, 2024 – No change

Nearby M codes

• M1298 – Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter
• M1299 – Influenza immunization administered or previously received
• M1300 – Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons)
• M1301 – Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy)
• M1302 – Screening, diagnostic, film digital or digital breast tomosynthesis (3d) mammography results documented and reviewed
• M1303 – Hospice services provided to patient any time during the measurement period
• M1304 – Patient did not receive any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period
• M1305 – Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period
• M1307 – Documentation stating the patient has received or is currently receiving palliative or hospice care
• M1308 – Influenza immunization was not administered, reason not given
• M1309 – Palliative care services provided to patient any time during the measurement period
• M1310 – Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both), if identified as a tobacco user
• M1311 – Anaphylaxis due to the vaccine on or before the date of the encounter
• M1312 – Patient not screened for tobacco use
• M1313 – Tobacco screening not performed or tobacco cessation intervention not provided during the measurement period or in the six months prior to the measurement period
• M1314 – Bmi not documented and no reason is given