Skip to main content
HCPCS Level II/M-Codes/M1153

M1153 HCPCS Level II Code: Patient with diagnosis of osteoporosis on date of encounter

Medicare Coverage & Payment

  • Medicare coverage: Carrier judgment (CMS coverage code C)
  • Payment category: Service not separately priced (pricing indicator 00)
  • BETOS: Z2 — Undefined codes
  • Last CMS action effective: January 1, 2023

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

Patient with diagnosis of osteoporosis on date of encounter is a HCPCS Level II code (M1153). CMS assigns coverage code C — Carrier judgment. Short description: Pt w/ dx osteo doe.

Nearest Codes in This Family

Official HCPCS Level II classifications closest to M1153 in its code family, with their registry titles.

  • M1148 — Ongoing care not possible because the patient self-discharged early (e.g., financial or insurance reasons, transportation problems, or reason unknown)
  • M1149 — Patient unable to complete the neck fs prom at initial evaluation and/or discharge due to blindness, illiteracy, severe mental incapacity or language incompatibility, and an adequate proxy is not available
  • M1150 — Current or prior left ventricular ejection fraction (lvef) less than or equal to 40% or documentation of moderately or severely depressed left ventricular systolic function
  • M1151 — Patients with a history of heart transplant or with a left ventricular assist device (lvad)
  • M1152 — Patients with a history of heart transplant or with a left ventricular assist device (lvad)
  • M1154 — Hospice services provided to patient any time during the measurement period
  • M1155 — Patient had anaphylaxis due to the pneumococcal vaccine any time during or before the measurement period
  • M1156 — Patient received active chemotherapy any time during the measurement period
  • M1157 — Patient received bone marrow transplant any time during the measurement period
  • M1158 — Patient had history of immunocompromising conditions prior to or during the measurement period