M1311 – Anaphylaxis due to the vaccine on or before the date of the encounter

Long description

Anaphylaxis due to the vaccine on or before the date of the encounter

Short description

Aphlx to vax bef enc

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

• 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
• M1306 – Patient had anaphylaxis due to the pneumococcal vaccine any time during or before 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
• 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
• M1315 – Colorectal cancer screening results were not documented and reviewed; reason not otherwise specified
• M1316 – Current tobacco non-user
• M1317 – Patients who are counseled on connection with a csp and explicitly opt out
• M1318 – Patients who did not have documented contact with a csp for at least one of their screened positive hrsns within 60 days after screening or documentation that there was no contact with a csp
• M1319 – Patients who had documented contact with a csp for at least one of their screened positive hrsns within 60 days after screening