Skip to main content
HCPCS Level II/M-Codes/M1001

M1001 HCPCS Level II Code: Plan of care to address moderate to severe pain documented on or before the date of the second visit with a clinician

Medicare Coverage & Payment

  • Medicare coverage: Carrier judgment (CMS coverage code C)
  • Payment category: Service not separately priced (pricing indicator 00)
  • BETOS: Z2
  • Effective: January 1, 2020
  • Terminated: December 31, 2019

Source: CMS HCPCS Level II release. Coverage codes indicate how Medicare treats the code, not whether a specific claim will be paid; payer policy and documentation still govern.

Official Registry Overview & Definition

Plan of care to address moderate to severe pain documented on or before the date of the second visit with a clinician is a HCPCS Level II code (M1001) for a Medicare-covered supply, service, or procedure. Short description: Pln to adrs pain doc.

Nearest Codes in This Family

Official HCPCS Level II classifications closest to M1001 in its code family, with their registry titles.

  • M1000 — Pain screened as moderate to severe
  • M1002 — Plan of care for moderate to severe pain not documented on or before the date of the second visit with a clinician, reason not given
  • M1003 — Tb screening performed and results interpreted within twelve months prior to initiation of first-time biologic and/or immune response modifier therapy
  • M1004 — Documentation of medical reason for not screening for tb or interpreting results (i.e., patient positive for tb and documentation of past treatment; patient who has recently completed a course of anti-tb therapy)
  • M1005 — Tb screening not performed or results not interpreted, reason not given
  • M1006 — Disease activity not assessed, reason not given
  • M1007 — >=50% of total number of a patient's outpatient ra encounters assessed
  • M1008 — <50% of total number of a patient's outpatient ra encounters assessed
  • M1009 — Discharge/discontinuation of the episode of care documented in the medical record
  • M1010 — Discharge/discontinuation of the episode of care documented in the medical record