HCPCS Code M1168

Patient received an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period
Code effective Jan 01, 2023

HCPCS Section
Medical services

M1168 is a valid 2026 HCPCS code meaning Patient received an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period or (Pt recd flu vax 7/1-6/30) for short. HCPCS M1168 has been effective since 01/01/2023 and applies to Medical care.

HCPCS Code Details - M1168

HCPCS Level II Code
Section M - Medical services
HCPCS Code M1168
Description

Long description:
Patient received an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period

Short description:
Pt recd flu vax 7/1-6/30

HCPCS Pricing indicator 00 - Physician Fee Schedule And Non-Physician Practitioners - Service not separately priced by part B (e.g., services not covered, bundled, used by Part A only, etc.)
Multiple pricing indicator 9 - Not applicable as HCPCS not priced separately by part B or value is not established
Coverage code C - Carrier judgment
BETOS2 code Z2 - Undefined codes
HCPCS Action code N - No maintenance for this code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2023
Date added Added Jan 01, 2023

See also

  • HCPCS M1167 · In hospice or using hospice services during the measurement period

  • HCPCS G2163 · Patient received an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period

  • HCPCS G9845 · Patient received anti-egfr monoclonal antibody therapy

  • HCPCS G9991 · Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period

  • HCPCS M1177 · Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period

  • HCPCS M1305 · Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period

  • HCPCS M1169 · Documentation of medical reason(s) for not administering influenza vaccine (e.g., prior anaphylaxis due to the influenza vaccine)

1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”

HCPCS Level II codes and descriptors are approved and maintained jointly by the alpha-numeric editorial panel (consisting of CMS, the Health Insurance Association of America, and the Blue Cross and Blue Shield Association). — Updated 6/23/2026

CPT® is a registered trademark of the American Medical Association (AMA). All rights reserved.