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HCPCS Level II/M-Codes/M1157

M1157 HCPCS Level II Code: Patient received bone marrow transplant any time during the measurement period

M1157 is the authoritative medical code for Patient received bone marrow transplant any time during the measurement period. This classification is used in medical billing and clinical recording to specify the clinical criteria for patient received bone marrow transplant any time during the measurement period (HCPCS Level II M1157), ensuring healthcare documentation aligns with current federal coding standards.

Billing Status: Processed within HCPCS Level II standards. CMS regulatory guidelines apply.

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, 2024
  • Terminated: December 31, 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 received bone marrow transplant any time during the measurement period is a HCPCS Level II code (M1157) for a Medicare-covered supply, service, or procedure. Short description: Pt recd bone mar trnsplt.

Nearest Codes in This Family

Official HCPCS Level II classifications closest to M1157 in its code family, with their registry titles.

  • M1152 — Patients with a history of heart transplant or with a left ventricular assist device (lvad)
  • M1153 — Patient with diagnosis of osteoporosis on date of encounter
  • 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
  • M1158 — Patient had history of immunocompromising conditions prior to or during the measurement period
  • M1159 — Hospice services provided to patient any time during the measurement period
  • M1160 — Patient had anaphylaxis due to the meningococcal vaccine any time on or before the patient's 13th birthday
  • M1161 — Patient had anaphylaxis due to the tetanus, diphtheria or pertussis vaccine any time on or before the patient's 13th birthday
  • M1162 — Patient had encephalitis due to the tetanus, diphtheria or pertussis vaccine any time on or before the patient's 13th birthday