In simple words: The patient did not receive the two recommended doses of shingles vaccine after turning 50.

Patient did not receive at least two doses of the herpes zoster recombinant vaccine (at least 28 days apart) anytime on or after the patient's 50th birthday before or during the measurement period. This is a supplemental tracking code that may be appropriate for data collection and performance measurement. This code is not a substitute for a code describing the procedure or service rendered.

Example 1: A 55-year-old patient presents for an annual physical. During the visit, it is discovered they have not yet received the recommended two doses of the Shingrix vaccine. The physician educates the patient about the vaccine and schedules an appointment for the first dose. Code M1176 is reported for performance tracking related to shingles vaccination rates., A 60-year-old patient is admitted to the hospital for an unrelated condition. When reviewing their medical history, it’s discovered that the patient only received one dose of Shingrix at age 52, but never received a second dose. Code M1176 is used for internal quality reporting., A 70-year-old patient presents for a follow-up appointment. She reports having received one dose of the Shingrix vaccine several years prior, but she is unsure of the exact date or whether she received a second dose. The physician confirms with the patient's previous provider that only one dose was administered. Code M1176 is used for quality measure reporting.

Documentation should clearly indicate the date(s) of any administered doses of the herpes zoster recombinant vaccine or the lack thereof. It should also confirm that the patient meets the age criteria (50 years or older).

** HCPCS Level II M codes may be reported by providers participating in programs designed to improve the quality of patient care through certain incentives to participating providers.