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

HCPCS Level II code · M codes: Medical Services and Quality Measures

Active code Carrier judgment

HCPCS codeM1168
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
Pricing indicator
00 Not separately priced by Part B (bundled, not covered or Part A only)
Medicare coverage
C Carrier judgment – coverage decided by the Medicare contractor
BETOS category
Z2 Undefined codes
Added
January 1, 2023
Last change
January 1, 2023 – No change

Frequently asked questions

What is HCPCS code M1168?

M1168 is a HCPCS Level II code for 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.

Does Medicare cover M1168?

The HCPCS file lists coverage code C: Carrier judgment – coverage decided by the Medicare contractor. Coverage and payment also depend on local coverage determinations and the patient’s plan.

Nearby M codes

Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.