HCPCS Code Details - M1168

HCPCS Level II Code
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 Modifier1
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 A - Add procedure or modifier code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2023
Date added Added Jan 01, 2023
HCPCS Coding Procedures

HCPCS Modifiers

In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
NU” identifies the hospital bed as new equipment

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 60th birthday and before the end of the measurement period

  • HCPCS M1177 · Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 60th 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”