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HCPCS Level II/M-Codes/M1419

M1419 HCPCS Level II Code: Patients who are not up to date on their COVID-19 vaccinations as defined by cdc recommendations on current vaccination

Medicare Coverage & Payment

  • Medicare coverage: Carrier judgment (CMS coverage code C)
  • Payment category: Service not separately priced (pricing indicator 00)
  • BETOS: Z2
  • Effective: January 1, 2025

Source: CMS HCPCS Level II release. Coverage codes indicate how Medicare treats the code, not whether a specific claim will be paid; payer policy and documentation still govern.

Official Registry Overview & Definition

Patients who are not up to date on their covid-19 vaccinations as defined by cdc recommendations on current vaccination is a HCPCS Level II code (M1419). CMS assigns coverage code C — Carrier judgment. Short description: Pt not up to date cov.

Nearest Codes in This Family

Official HCPCS Level II classifications closest to M1419 in its code family, with their registry titles.

  • M1414 — Documentation of medical reason(s) for not performing the pd-l1 biomarker expression test prior to initiation of first-line immune checkpoint inhibitor therapy (e.g., patient is in an urgent or emergent situation where delay of treatment would jeopardize the patient's health status; other medical reasons/contraindication)
  • M1415 — Patients who did not have a positive pd-l1 biomarker expression test result prior to the initiation of first-line immune checkpoint inhibitor therapy
  • M1416 — Patient received hospice services any time during the performance period
  • M1417 — Patients who are up to date on their covid-19 vaccinations as defined by cdc recommendations on current vaccination
  • 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
  • M1420 — Complete ophthalmologic care mips value pathway
  • M1421 — Dermatological care mips value pathway
  • M1422 — Gastroenterology care mips value pathway
  • M1423 — Optimal care for patients with urologic conditions mips value pathway
  • M1424 — Pulmonology care mips value pathway