HCPCS Code M1418

Patients who are not up to date on their covid-19 vaccinations as defined by cdc recommendations on current vaccination because of a medical contraindication documented by clinician

Medical services

  HCPCS Code M1418 is a newly added HCPCS code for 2025 and effective Jan 01, 2025.

M1418 is a valid 2025 HCPCS code for Patients who are not up to date on their covid-19 vaccinations as defined by cdc recommendations on current vaccination because of a medical contraindication documented by clinician or just “Med rsn not up to date cov” for short, used in Medical care.

HCPCS Code Details - M1418

HCPCS Level II Code
Medical services
HCPCS Code M1418
Description

Long description:
Patients who are not up to date on their covid-19 vaccinations as defined by cdc recommendations on current vaccination because of a medical contraindication documented by clinician

Short description:
Med rsn not up to date cov

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, 2025
Date added Added Jan 01, 2025
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 G9298 · Patients who are evaluated for venous thromboembolic and cardiovascular risk factors within 30 days prior to the procedure (e.g., history of dvt, pe, mi, arrhythmia and stroke)

  • HCPCS G9299 · Patients who are not evaluated for venous thromboembolic and cardiovascular risk factors within 30 days prior to the procedure (e.g., history of dvt, pe, mi, arrhythmia and stroke, reason not given)

  • HCPCS G9664 · Patients who are currently statin therapy users or received an order (prescription) for statin therapy

  • HCPCS G9665 · Patients who are not currently statin therapy users or did not receive an order (prescription) for statin therapy

  • HCPCS G9766 · Patients who are transferred from one institution to another with a known diagnosis of cva for endovascular stroke treatment

  • HCPCS G9779 · Patients who are breastfeeding at any time during the performance period

  • HCPCS G9800 · Patients who are identified as having an intolerance or allergy to beta-blocker therapy

  • HCPCS G9930 · Patients who are receiving comfort care only

  • HCPCS M1317 · Patients who are counseled on connection with a csp and explicitly opt out

  • HCPCS M1343 · Patients who are at pam level 4 at baseline or patients who are flagged with extreme straight line response sets on the pam or with excessive missing responses

  • HCPCS M1417 · Patients who are up to date on their covid-19 vaccinations as defined by cdc recommendations on current vaccination

  • HCPCS M1419 · Patients who are not up to date on their covid-19 vaccinations as defined by cdc recommendations on current vaccination

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”