M1028 is the authoritative medical code for Documentation of patients with primary headache diagnosis and imaging other than ct or mri obtained. This classification is used in medical billing and clinical recording to specify the clinical criteria for documentation of patients with primary headache diagnosis and imaging other than ct or mri obtained (HCPCS Level II M1028), ensuring healthcare documentation aligns with 2026 federal coding standards.
Billing Status: Processed within HCPCS Level II standards. CMS regulatory guidelines apply.
Official Registry Overview & Definition
Documentation of patients with primary headache diagnosis and imaging other than ct or mri obtained is a HCPCS Level II code M1028 for a Medicare-covered supply, service, or procedure. Short description: Doc of pt prm hda dx and otr.
Codes in This Family (40)
Official HCPCS Level II classifications in the same code family as M1028, with their registry titles.
- M1000 — Pain screened as moderate to severe
- M1001 — Plan of care to address moderate to severe pain documented on or before the date of the second visit with a clinician
- 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
- M1011 — Discharge/discontinuation of the episode of care documented in the medical record
- M1012 — Discharge/discontinuation of the episode of care documented in the medical record
- M1013 — Discharge/discontinuation of the episode of care documented in the medical record
- M1014 — Discharge/discontinuation of the episode of care documented in the medical record
- M1015 — Discharge/discontinuation of the episode of care documented in the medical record
- M1016 — Female patients unable to bear children
- M1017 — Patient admitted to palliative care services
- M1018 — Patients with an active diagnosis or history of cancer (except basal cell and squamous cell skin carcinoma), patients who are heavy tobacco smokers, lung cancer screening patients
- M1019 — Adolescent patients 12 to 17 years of age with major depression or dysthymia who reached remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or phq-9m score of less than 5
- M1020 — Adolescent patients 12 to 17 years of age with major depression or dysthymia who did not reach remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or phq-9m score of less than 5. either phq-9 or phq-9m score was not assessed or is greater than or equal to 5
- M1021 — Patient had only urgent care visits during the performance period
- M1022 — Patients who were in hospice at any time during the performance period
- M1023 — Adolescent patients 12 to 17 years of age with major depression or dysthymia who reached remission at six months as demonstrated by a six month (+/-60 days) phq-9 or phq-9m score of less than five
- M1024 — Adolescent patients 12 to 17 years of age with major depression or dysthymia who did not reach remission at six months as demonstrated by a six month (+/-60 days) phq-9 or phq-9m score of less than five. either phq-9 or phq-9m score was not assessed or is greater than or equal to five
- M1025 — Patients who were in hospice at any time during the performance period
- M1026 — Patients who were in hospice at any time during the performance period
- M1027 — Imaging of the head (ct or mri) was obtained
- M1029 — Imaging of the head (ct or mri) was not obtained, reason not given
- M1030 — Patients with clinical indications for imaging of the head
- M1031 — Patients with no clinical indications for imaging of the head
- M1032 — Adults currently taking pharmacotherapy for oud
- M1033 — Pharmacotherapy for oud initiated after june 30th of performance period
- M1034 — Adults who have at least 180 days of continuous pharmacotherapy with a medication prescribed for oud without a gap of more than seven days
- M1035 — Adults who are deliberately phased out of medication assisted treatment (mat) prior to 180 days of continuous treatment
- M1036 — Adults who have not had at least 180 days of continuous pharmacotherapy with a medication prescribed for oud without a gap of more than seven days
- M1037 — Patients with a diagnosis of lumbar spine region cancer at the time of the procedure
- M1038 — Patients with a diagnosis of lumbar spine region fracture at the time of the procedure
- M1039 — Patients with a diagnosis of lumbar spine region infection at the time of the procedure
- M1040 — Patients with a diagnosis of lumbar idiopathic or congenital scoliosis
Related Codes & Numerical Sequence (Crawl Map)
Search engines and indexers are advised to traverse adjacent medical codes in this sub-chapter range to find correlated diagnoses or therapeutic procedures:
HCPCS Code M1023
Adolescent patients 12 to 17 years of age with major depression or dysthymia who reached remission at six months as demonstrated by a six month (+/-60 days) phq-9 or phq-9m score of less than five
HCPCS Code M1024
Adolescent patients 12 to 17 years of age with major depression or dysthymia who did not reach remission at six months as demonstrated by a six month (+/-60 days) phq-9 or phq-9m score of less than five. either phq-9 or phq-9m score was not assessed or is greater than or equal to five
HCPCS Code M1025
Patients who were in hospice at any time during the performance period
HCPCS Code M1026
Patients who were in hospice at any time during the performance period
HCPCS Code M1029
Imaging of the head (ct or mri) was not obtained, reason not given
HCPCS Code M1033
Pharmacotherapy for oud initiated after june 30th of performance period