HCPCS Service Codes - Medical care

HCPCS Codes for Medical care

• M1269

  Receiving esrd mcp dialysis services by the provider on the last day of the reporting month

• M1270

  Patients not on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement period

• M1271

  Patients with dementia at any time prior to or during the month

• M1272

  Patients observed on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement period

• M1273

  Patients who were admitted to a skilled nursing facility (snf) within one year of dialysis initiation according to the cms-2728 form

• M1274

  Patients who were admitted to a skilled nursing facility (snf) during the month of evaluation were excluded from that month

• M1275

  Patients determined to be in hospice were excluded from month of evaluation and the remainder of reporting period

• M1276

  Bmi documented outside normal parameters, no follow-up plan documented, no reason given

• M1277

  Colorectal cancer screening results documented and reviewed

• M1278

  Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented

• M1279

  Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given

• M1280

  Women who had a bilateral mastectomy or who have a history of a bilateral mastectomy or for whom there is evidence of a right and a left unilateral mastectomy

• M1281

  Blood pressure reading not documented, reason not given

• M1282

  Patient screened for tobacco use and identified as a tobacco non-user

• M1283

  Patient screened for tobacco use and identified as a tobacco user

• M1284

  Patients age 66 or older in institutional special needs plans (snp) or residing in long term care with pos code 32, 33, 34, 54, or 56 for more than 90 consecutive days during the measurement period

• M1285

  Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified

• M1286

  Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason

• M1287

  Bmi is documented below normal parameters and a follow-up plan is documented

• M1288

  Documented reason for not screening or recommending a follow-up for high blood pressure

• M1289

  Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy)

• M1290

  Patient not eligible due to active diagnosis of hypertension

• M1291

  Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period

• M1292

  Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and an advanced illness diagnosis during the measurement period or the year prior to the measurement period

• M1293

  Bmi is documented above normal parameters and a follow-up plan is documented

• M1294

  Normal blood pressure reading documented, follow-up not required

• M1295

  Patients with a diagnosis or past history of total colectomy or colorectal cancer

• M1296

  Bmi is documented within normal parameters and no follow-up plan is required

• M1297

  Bmi not documented due to medical reason or patient refusal of height or weight measurement

• M1298

  Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter

• M1299

  Influenza immunization administered or previously received

• M1300

  Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons)

• M1301

  Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy)

• M1302

  Screening, diagnostic, film digital or digital breast tomosynthesis (3d) mammography results documented and reviewed

• M1303

  Hospice services provided to patient any time during the measurement period

• M1304

  Patient did not receive any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period

• M1305

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

• M1306

  Patient had anaphylaxis due to the pneumococcal vaccine any time during or before the measurement period

• M1307

  Documentation stating the patient has received or is currently receiving palliative or hospice care

• M1308

  Influenza immunization was not administered, reason not given

• M1309

  Palliative care services provided to patient any time during the measurement period

• M1310

  Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both), if identified as a tobacco user

• M1311

  Anaphylaxis due to the vaccine on or before the date of the encounter

• M1312

  Patient not screened for tobacco use

• M1313

  Tobacco screening not performed or tobacco cessation intervention not provided during the measurement period or in the six months prior to the measurement period

• M1314

  Bmi not documented and no reason is given

• M1315

  Colorectal cancer screening results were not documented and reviewed; reason not otherwise specified

• M1316

  Current tobacco non-user

• M1317

  Patients who are counseled on connection with a csp and explicitly opt out

• M1318

  Patients who did not have documented contact with a csp for at least one of their screened positive hrsns within 60 days after screening or documentation that there was no contact with a csp