M1169 Doc medial rsn no flu vax
Also known as: medical contraindication to flu vaccine, flu vaccine exemption
Documented medical reason for not administering influenza vaccine.
In Plain Language
Medical reason preventing flu shot; Documented vaccine contraindication
Clinical Context
Quality measure indicator documenting medical contraindication or documented reason preventing influenza vaccine administration such as severe allergy or immunocompromisation.
RVU Information
CPT M1169 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
Frequently Asked Questions
What is CPT code M1169?
CPT M1169 (Doc medial rsn no flu vax) is a M Codes code. Documented medical reason for not administering influenza vaccine.
Is M1169 covered by insurance?
M1169 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure indicator documenting medical contraindication or documented reason preventing influenza vaccine administration such as severe allergy or immunocompromisation.
When is CPT M1169 used?
Quality measure indicator documenting medical contraindication or documented reason preventing influenza vaccine administration such as severe allergy or immunocompromisation.
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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.