M1064 HCPCS Level II code: Shingrix vaccine documented as administered or previously received
CMS terminated M1064: its last date of service was Dec 31, 2020. It stays here for looking up older claims; newer services need a current code.
Official description
M1064Shingrix vaccine documented as administered or previously received
Short description: Shing vac doc adm or pv rec
HCPCS · United States
Medicare details
The indicators CMS publishes with M1064 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Carrier judgment
- Medicare pricing
- Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)
- Type of service
- Medical care
- BETOS category
- Undefined codes
- Added
- Jan 1, 2019
- Terminated after
- Dec 31, 2020
Where M1064 sits
- 1M codesMedical services and quality measures
- 2Terminated M1064Shingrix vaccine documented as administered or previously received
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
Is HCPCS code M1064 still valid?
No. CMS terminated M1064; its last date of service was Dec 31, 2020. It is listed for looking up services from before then. Use a current code for newer services.
Does Medicare cover M1064?
CMS lists M1064’s Medicare coverage as “Carrier judgment” and its pricing as “Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside M1064
All M codesM1058Patient was a permanent nursing home resident at any time during the performance periodM1059Patient was in hospice or receiving palliative care at any time during the performance periodM1060Patient died prior to the end of the performance periodM1061Patient pregnancyM1062Patient immunocompromisedM1063Patients receiving high doses of immunosuppressive therapyM1065Shingrix vaccine was not administered for reasons documented by clinician (e.g. patient administered vaccine other than shingrix, patient allergy or other medical reasons…M1066Shingrix vaccine not documented as administered, reason not givenM1067Hospice services for patient provided any time during the measurement periodM1068Adults who are not ambulatoryM1069Patient screened for future fall riskM1070Patient not screened for future fall risk, reason not given