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M1168 Pt recd flu vax 7/1-6/30

M Codes

Also known as: flu shot documentation, influenza vaccine administration, flu vaccination

Patient received influenza vaccination between July 1 and June 30 of the measurement year.

In Plain Language

Flu shot received; Annual influenza prevention

Clinical Context

Quality measure indicator documenting receipt of annual influenza vaccine during the standard flu season (July 1 to June 30) for preventive health maintenance.

RVU Information

CPT M1168 does not have a physician work RVU assigned by CMS. Reimbursement for this code is determined by payer-specific fee schedules.

Billing & Documentation

M-codes cover quality measures and performance reporting. They are used in value-based care programs to track whether specific clinical actions were taken. Documentation must support that the measured action was performed or a valid exclusion applies.

Specialties

Preventive MedicineFamily MedicinePrimary Care

Frequently Asked Questions

What is CPT code M1168?

CPT M1168 (Pt recd flu vax 7/1-6/30) is a M Codes code. Patient received influenza vaccination between July 1 and June 30 of the measurement year.

Is M1168 covered by insurance?

M1168 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure indicator documenting receipt of annual influenza vaccine during the standard flu season (July 1 to June 30) for preventive health maintenance.

When is CPT M1168 used?

Quality measure indicator documenting receipt of annual influenza vaccine during the standard flu season (July 1 to June 30) for preventive health maintenance.

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.