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M1170 Pt without flu vax 7/1-6/30

M Codes

Also known as: flu vaccine not given, no flu immunization

Patient did not receive influenza vaccination between July 1 and June 30 of the measurement year.

In Plain Language

Did not get flu shot; Skipped annual flu vaccination

Clinical Context

Quality measure denominator tracking patients not receiving influenza vaccine during the standard measurement period without documented medical contraindication.

RVU Information

CPT M1170 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 MedicinePrimary CareFamily Medicine

Frequently Asked Questions

What is CPT code M1170?

CPT M1170 (Pt without flu vax 7/1-6/30) is a M Codes code. Patient did not receive influenza vaccination between July 1 and June 30 of the measurement year.

Is M1170 covered by insurance?

M1170 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure denominator tracking patients not receiving influenza vaccine during the standard measurement period without documented medical contraindication.

When is CPT M1170 used?

Quality measure denominator tracking patients not receiving influenza vaccine during the standard measurement period without documented medical contraindication.

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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.