HCPCS Level II M1 codes
429 active HCPCS Level II codes beginning M1, from M1003 to M1503. Part of the full HCPCS Level II index.
- M1003Tb scr 12 mo pri fst bio dz
- M1004Doc med rsn no srn tb
- M1005Tb scr no perf
- M1006Dz not ases, no rsn
- M1007>=50% total pt outpt ra enct
- M1008<50% total pt outpt ra encts
- M1009Dc eoc doc med rec
- M1010Dc eoc doc med rec
- M1011Dc eoc doc med rec
- M1012Dc eoc doc med rec
- M1013Dc eoc doc med rec
- M1014Dc epi care doc medrec
- M1016Pt dx meop or sur steri
- M1018Pt dx hst cr pt sk lg cr scr
- M1019Adl pt mj dep ds rs 12 phq<5
- M1020Adl pt mj dep ds no rs 12 mo
- M1021Pt uc in pp
- M1027Img head (ct or mri) obtnd
- M1028Doc of pt prm hda dx and otr
- M1029Doc sysm rsn img hd
- M1032Adt tkng pharmthry for oud
- M1034Adt 180 dys pharmthry oud
- M1035Adt pd out mat pr 180 dys tx
- M1036Adt no 180 dys pharmthry oud
- M1037Pt dx lum sp reg cacr
- M1038Pt dx lum sp reg fract
- M1039Pt dx lum sp reg inf
- M1040Pt dx lum idi or cong scol
- M1041Pt cr ft inf lm or pt id sl
- M1043Fs no odi 9-15mo
- M1045Fs oks 9-15mo >= 37 >= 71
- M1046Fs oks 9-15mo < 37 < 71
- M1049Fs wth scr no odi pre and p
- M1051Pt w/cancer scoliosis
- M1052Lg pn not meas w/ vas 1yr po
- M1054Pt uc in pp
- M1055Aspirin used
- M1056Presc antico med in pp
- M1057Aspirin not used, no rsn
- M1058Pt prm nurs hm res in pp
- M1059Pt no prm nurs hm res in pp
- M1060Pt died in pp
- M1067Hspc pt prv time meam per
- M1068Pt not ambulatory
- M1069Pt scr ft fall rsk
- M1070Pt not scrn fut fall no rsn
- M1106Start eoc doc med rec
- M1107Docu dx degen neuro
- M1108Oc ni pt home prog
- M1109Oc ni pt dc
- M1110Oc not p pt selfdc
- M1111Start eoc doc med rec
- M1112Docu dx degen neuro
- M1113Oc ni pt home prog
- M1114Oc ni pt dc
- M1115Oc ni pt selfdc
- M1116Start eoc doc med rec
- M1117Docu dx degen neuro
- M1118Oc ni pt home prog
- M1119Oc ni pt dc
- M1120Oc ni pt selfdc
- M1121Start eoc doc med rec
- M1122Docu dx degen neuro
- M1123Oc ni pt home prog
- M1124Oc ni pt dc 1-2 vis
- M1125Oc ni pt selfdc 1-2 vis
- M1126Start eoc doc med rec
- M1127Docu dx degen neuro
- M1128Oc ni pt home prog
- M1129Oc ni pt dc
- M1130Oc ni pt selfdc
- M1131Docu dx degen neuro
- M1132Oc ni pt home prog
- M1133Oc ni pt dc
- M1134Oc ni pt selfdc
- M1135Start eoc doc med rec
- M1141Fs no oks
- M1142Emerge cases
- M1143Ni rehab med chiro
- M1146Ongoing care not ind
- M1147Care not poss med rsn
- M1148Pt self dschg
- M1149No neck fs prom incap
- M1150Lvef <=40% or mod/sev l vsf
- M1151Pt w/ hx trnsplt or lvad
- M1152Pt w/ hx trnsplt or lvad
- M1153Pt w/ dx osteo doe
- M1159Hospc serv dur meas pd
- M1160Pt anphx due to mengb bef 13
- M1161Pt anphx due to dtp bef 13
- M1162Pt enceph due to dtp bef 13
- M1163Pt anphx due to hpv bef 13
- M1164Pt w/ dementia any time
- M1165Pt use hspc dur meas pd
- M1166Path rpt tis spec wle/reexc
- M1167Hspc dur meas pd
- M1168Pt recd flu vax 7/1-6/30
- M1169Doc med rsn no flu vax
- M1170Pt w/o flu vax 7/1-6/30
- M1171Pt recd 1 td/tdap 9yrs prior
- M1172Doc med rsn no td/tdap
- M1173Pt no rec td/tdap 9yrs prior
- M1174Pt w/ 2 hzv 10/2017 - mp
- M1175Doc med rsn no hzv
- M1176No 2 hzv 10/2017-meas pd
- M1177Pt recd pcv on/aft 19
- M1178Doc med rsn no pcv
- M1179No pcv recd
- M1180Pt imm ckpt inhib therapy
- M1181Gr 2 or> dia or gr2 or> col
- M1182Not elg pre ex ibd/uc/crohn
- M1183Doc imm ckpt inhib hld
- M1184Doc med rsn no cst/ist rx
- M1185Imm ckpt inhib not hld no rx
- M1186Pt w/ rx for hspc/plltv care
- M1187Pt w/ esrd
- M1188Pt w/ ckd stg 5
- M1189Doc khe pef w/efgr/uacr
- M1190Doc khe not pef w/efgr/uacr
- M1191Hspc svc any time in meas pd
- M1192Pt w/ dx sq cell ca of esoph
- M1193Rpts w/ imp/con mmr/msi
- M1194Med rsn no imp/con mmr/msi
- M1195Rpt wo imp/con mmr/msi
- M1196Ixv nrs vrs iqa >=4
- M1197Isa reduced >=3 fr ixv
- M1198Isa not red 3pts /no assess
- M1199Pt rec'g rrt
- M1200Ace-i/arb rx
- M1201Med rsn no ace-i/arb rx
- M1202Pt rsn no ace-i/arb rx
- M1203No rsn ace-i/arb rx
- M1204Ixv nrs vrs iqa >=4
- M1205Isa reduced >=3
- M1206Isa not red 3pts/no assess
- M1207Pt scrn sdoh
- M1208Pt no scrn sdoh
- M1209>=2 same hi-rsk med w/o diag
- M1210>=2 same meds tbl4 not ord
- M1211Gsa level>9.0%
- M1212Missing gsa not perf
- M1213No hx spiro prs spiro>=70%
- M1214Spiro results wth obs doc
- M1215Med rsn for no doc spiro
- M1216No spiro doc no res doc
- M1217Sys rsn no doc spiro
- M1218Pt copd symptoms
- M1220Dre wth interp rtnopthy
- M1221Dre w/o rtnopthy
- M1222Glaucoma pln of care not doc
- M1223Glaucoma plan of care doc
- M1224Iop dec <20% from base
- M1225Iop dec>=20% from base
- M1226Iop not doc
- M1227Eb therapy prescribed
- M1228Pt + hcv aby +vir w/ rx 3 mo
- M1229Pt w/ +hcv +vir ref win 1 mo
- M1230Pt hcv rctv aby no f/u tst
- M1231Pt hcv tst no reactive res
- M1232Pt hcv tst reactive result
- M1233Pt no hcv aby or result
- M1234Pt hcv rctv aby f/u neg
- M1235Doc pt hcv aby rna tst
- M1236Baseline mrs > 2
- M1237Pt rsn no scrn
- M1238Doc 2nd recom hzv 2-6 mo int
- M1239Pt no resp heard
- M1240Pt no resp best int
- M1241Pt no resp seen as person
- M1242Pt no resp imprt to me
- M1243Pt othr thn true heard
- M1244Pt othr thn true best int
- M1245Pt othr thn true person
- M1246Pt othr thn true imprt to me
- M1247Pt resp true best int
- M1248Pt resp true seen as person
- M1249Pt resp true imprt to me
- M1250Pt resp true heard
- M1251Pts proxy cmplt hu surv
- M1252Pts no cmplt hu survey
- M1253Pts hu surv no amb plltv
- M1254Pts deceased prior hu surv
- M1255Pts w/ othr rsn vst,+prg tst
- M1256Prior history of known cvd
- M1257Cvd risk assess not perf
- M1258Cvd risk assess perf
- M1259Pt stat doc <= 1 yr dialysis
- M1260Pt not doc <= 1 yr dialysis
- M1261Pts on wtlist bef dialysis
- M1262Pts transplt bef dialysis
- M1263Pts hosp dialysis dt
- M1265Cms 2728 completed
- M1266Pts admit snf
- M1267Pt no act kid transplt wtlst
- M1268Pt ac stat kid trnsplt wtlst
- M1269Rec'd esrd mcp lst day of mo
- M1270Pts no kid transplt wtlst
- M1271Pts dem any time/dur mo
- M1272Pts kid transplt wtlst
- M1273Pts snf 1 yr dialysis
- M1274Pts snf exl mo
- M1275Pts hosp exl
- M1276Calc bmi out nrm param nof/u
- M1277Colorectal ca screen doc rev
- M1278Pre-htn or htn doc, f/u indc
- M1279Pre-htn/htn, no f/u, not gvn
- M1280Bilat mast/hx bi /unilat mas
- M1281Bp scrn no perf at interval
- M1282Pt scrn tbco id as non user
- M1283Pt scrn tbco and id as user
- M1284Pt 66+ snp or ltc pos > 90d
- M1285Scrn mam perf rslts not doc
- M1286Bmi doc onl fup not cmpltd
- M1287Calc bmi blw low param f/u
- M1288Doc rsn no hbp scrn or f/u
- M1289No pt tbco cess interv rng
- M1290Pt not eli d/t act dig htn
- M1291Pt 66+ frailty and med dem
- M1292Pt 66+ frail inpt adv ill
- M1293Calc bmi abv up param f/u
- M1294Bp scrn perf rec interval
- M1295Pt hx tot col or colon ca
- M1296Calc bmi norm parameters
- M1297Bmi not doc medrsn ptref
- M1298Doc pt preg dur msrmt pd
- M1299Flu immunize order/admin
- M1300Flu imm no admin doc rea
- M1301Pt recv tbco cess interv
- M1302Scrn mam perf rslts doc
- M1303Hospc serv dur meas pd
- M1304No pneum vax admin 19+
- M1305Pneum vax admin 19+
- M1306Pt anphx due to pneum
- M1307Doc pt pal or hospice
- M1308Flu immunize no admin
- M1309Pall serv during meas
- M1310Pt scr tob & cess int
- M1311Aphlx to vax bef enc
- M1312No pt tbco scrn rng
- M1313No tob scr/cess int
- M1314Bmi not calculated
- M1315Crc no doc no rsn
- M1316Tobacco non-user
- M1317Pts counsl cpt opt out
- M1318Pts no csp doc contact
- M1319Pts csp doc contact
- M1320Pts scrn + hrsn
- M1321Pts no 7wk inj,no iop,iop>25
- M1322Pts 7wk inj, scrn iop =<25
- M1323Pts 7wk inj, scrn iop >25
- M1324Pts intravitreal/pci
- M1325Doc med rsn not seen
- M1326Pts dx hypotony
- M1327Pts no eval ini xm no 8 wks
- M1328Pts dx acute vitreous hem
- M1329Pts act pvd 2 wks 8 wks
- M1330Doc pts rsn no f/u xm
- M1331Pts eval ini xm 8 wks
- M1332Pts no eval ini xm no 2 wks
- M1333Acute vitreous hemorrhage
- M1334Pts act pvd 2 wks 2 wks
- M1335Doc pts rsn no f/u xm
- M1336Pts eval ini xm 2 wks
- M1337Acute pvd
- M1338Pt f/u 30-180 dys no + imprv
- M1339Pts f/u 30-180 dys + improv
- M1340Indx whodas 2.0 or sds
- M1341Pt no f/u 30-180 dys
- M1342Pts died perf per
- M1343Pt pam lvl 4 base or srt lin
- M1344No bsln/2nd pam score 4-12mo
- M1345Pt bsln pam, 2nd scr 4-12 mo
- M1346No pam inc 6 pts 4-12 mo
- M1347Pt pam incr 3 pt 4-12 mo
- M1348Pam incr 6 pt 4-12 mo
- M1349No pam inc 3 pts 4-12 mo
- M1350Pt w/ suic saf pln init rev
- M1351Pt cmplt suicd saf pln 120dy
- M1352Suicd c-ssrs assessment, equ
- M1353Pts no cmplt suicd saf pln
- M1354Pt no suicd saf pln 120dy
- M1355Suicd based cln eval
- M1356Pt died dur meas pd
- M1357Pt w/red suic idea 120 days
- M1358Pts no <suicd idea 120 dys
- M1359Indx suicd idea, no 0 scr
- M1360Suicd c-ssrs assessment
- M1361Suicd based cln eval
- M1362Pt died dur meas pd
- M1363Pts no f/u 120 dys
- M1364Ascvd risk >=20pct
- M1365Hosp+pall care spec code 17
- M1366Focus on women's health mvp
- M1367Qual care ent disorder mvp
- M1368Prev trt inf d/o hiv/hep mvp
- M1369Qualcare mental hlth/sud mvp
- M1370Rehab support msk care mvp
- M1371Mst rec gsa<7
- M1372Mst rec gsa >=7 and<8
- M1373Mst rec gsa >=8 and <=9
- M1374Ra dx enc 90 days dur per pd
- M1375Ra dx enc 90 days dur per pd
- M1376Ra dx enc 90 days dur per pd
- M1377Fu colscop 10 yr doc w/ disc
- M1378Med rsn no 10 yr fu colscope
- M137910 yr fu no rec rsn not giv
- M13802 rx in perf pd any com meds
- M1381Pt sec strk wthin 5 days
- M1382Enc dur perf pd pos 11
- M1383Acute pvd
- M1384Pt died dur perf pd
- M1385Pt rsn not seen 2nd pam
- M1386Exc sx melmn or mlnm is
- M1387Pt died dur perf pd
- M1388Pt doc exm rec melmn
- M1390Pt no doc exm for rec
- M1391All pt dx w/ rec mlnm
- M1392Pt rsn no exm or lst to fu
- M1393Pr no dx rec mlnm
- M1394Stg i-iii br ca
- M1395Init chemo w/def dur ec grp
- M1396Pt ther clin trial
- M1397Pt w/ recur/prog
- M1398Bslne and fu promis doc
- M1399Pt lve prac
- M1400Pt died dur perf pd
- M1401Stg i-iii br ca
- M1402Init chemo w/def dur ec grp
- M1403Bslne and fu promis doc
- M1404Pt ther clin trial
- M1405Pt w/ recur/prog
- M1406Pt lve prac
- M1407Pt died dur perf pd
- M1408Gmln brca bef dx ca
- M1409Recd gmln brca1/brca2 couns
- M1410No gmln brca1/brca2 couns
- M14111st ln ici no chemo
- M1412Met nsclc w/ egfr alk oth ab
- M1413Pos pdl1 bef init ici tx
- M1414Med rsn no pdl1 bef 1st ther
- M1415No pos pdl1 bef ici ther
- M1416Pt rec hosp
- M1417Pt up to date cov
- M1418Med rsn not up to date cov
- M1419Pt not up to date cov
- M1420Complete ophthalmologic mvp
- M1421Dermatological care mvp
- M1422Gastroenterology care mvp
- M1423Opt care urologic cnd mvp
- M1424Pulmonology care mvp
- M1425Surgical care mvp
- M1426Telehealth enc
- M1427Doc med rsn bone scn
- M1428Bilateral absence of eyes
- M1429Retinopathy in od, os, ou
- M1430Ret exm ou no retinopthy doc
- M1431Telehealth enc
- M1432Telehealth enc
- M1433Oral chemo wthn 30 days enc
- M1434Orl chemo wthn 30 d post enc
- M1435Oral chemo in perf pd
- M1436Telehealth enc
- M1437Telehealth enc
- M1438Lst knwn well <=210 min
- M1439Sig ocu cond imp surg out
- M1440Telehealth enc
- M1441Init dx slp apn = 1st enc
- M1442Telehealth enc
- M1443Telehealth enc
- M1444Del < 39 weeks gest
- M1445Pp care visit by 12 weeks
- M1446Pt died bef end meas pd
- M1447Pt dx bd bef end meas pd
- M1448Pt dx pd bef end meas pd
- M1449Pt dx scz/pys bef end msr pd
- M1450Pt hos/pal care dur id/pf pd
- M1451Pt dx ppd dur id/pf pd
- M1452Pt dx dementia ever
- M1453Preop vis acu > 20/40
- M1454New cied
- M1455Rep/rev cied
- M1456Pt had htx
- M1457Dx asth dur crnt/prv perf pd
- M1458Pt died bef end meas pd
- M1459Pt hosp/pal care dur perf pd
- M1460Dx copd, cf, or arf
- M1461Pt dx chron hepc
- M1462Pt clin ind hd image
- M14632 f/u wthn 180 day rx atmp
- M1464No record of f/u by 180 days
- M1465F/u > 180 days after rx
- M1466Pt disc/lam proc same day
- M1467Pt dx lynch syn
- M1468Hep b vaccine received
- M1469Hx of hep b, or pos bld test
- M1470Hep b vac not rec'd med rsn
- M1471Ffs hep b not covered
- M1472Hep b vaccine not received
- M1473Pt func cap not allow impr
- M1474Pt dx dementia
- M1475Pt dx huntington
- M1476Pt dx cog imp or ad
- M1477Dx delirium
- M1478Psychoactive sub abuse
- M1479Pt func cap not allow impr
- M1480Pt func cap not allow impr
- M1481Pt in hosp/pal care who died
- M1482Pos quan hep c or qual rna
- M1483Neg quan hep c or qual rna
- M1484No rpt hcv rna perf med rsn
- M1485Neg viro resp hep c/qual rna
- M1486Pt admitted to snf dur eval
- M1487Pt adm to hospice dur eval
- M1488Dx dementia in msr timeframe
- M1489Pt status doc
- M1490Pt status not doc
- M1491Rec'd esrd mcp dur perf pd
- M1492No reported fall
- M1493No fall doc med rsn
- M1494Fall rep since last visit
- M1495Fall w/ poc, no fall
- M1496No doc of fall or poc
- M1497No doc fall med rsn
- M1498Diagnostic radiology mvp
- M1499Interventional radiology mvp
- M1500Neuropsychology mvp
- M1501Pathology mvp
- M1502Podiatry mvp
- M1503Vascular surgery mvp
Source
HCPCS Level II July 2026 quarterly update. Centers for Medicare & Medicaid Services (CMS), “July 2026 Alpha-Numeric HCPCS File” (HCPC2026_JUL_ANWEB_06172026.txt). Download the original file from cms.gov. Public domain (US Government work). Descriptors, billable flags and instructional notes on this page are reproduced from that file without modification. Krasyn adds no clinical guidance.