HCPCS Code Details - M1306

HCPCS Level II Code
Medical services
HCPCS Code M1306
Description

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

HCPCS Modifier1
HCPCS Pricing indicator 00 - Physician Fee Schedule And Non-Physician Practitioners - Service not separately priced by part B (e.g., services not covered, bundled, used by Part A only, etc.)
Multiple pricing indicator 9 - Not applicable as HCPCS not priced separately by part B or value is not established
Coverage code C - Carrier judgment
BETOS2 code Z2 - Undefined codes
HCPCS Action code A - Add procedure or modifier code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2024
Date added Added Jan 01, 2024
HCPCS Coding Procedures

HCPCS Modifiers

In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
NU” identifies the hospital bed as new equipment

See also

  • HCPCS M1305 · Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period

  • HCPCS M1155 · Patient had anaphylaxis due to the pneumococcal vaccine any time during or before the measurement period

  • HCPCS M1160 · Patient had anaphylaxis due to the meningococcal vaccine any time on or before the patient's 13th birthday

  • HCPCS M1161 · Patient had anaphylaxis due to the tetanus, diphtheria or pertussis vaccine any time on or before the patient's 13th birthday

  • HCPCS M1163 · Patient had anaphylaxis due to the hpv vaccine any time on or before the patient's 13th birthday

  • HCPCS M1307 · Documentation stating the patient has received or is currently receiving palliative or hospice care


1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”