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HCPCS Level II/M-Codes/M1158

M1158 HCPCS Level II Code: Patient had history of immunocompromising conditions prior to or during the measurement period

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, 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 had history of immunocompromising conditions prior to or during the measurement period is a HCPCS Level II code (M1158). CMS assigns coverage code C — Carrier judgment. CMS terminated this code effective December 31, 2023; it cannot be reported for later dates of service. Short description: Pt hx immcomp prior/dur pd.

Nearest Codes in This Family

Official HCPCS Level II classifications closest to M1158 in its code family, with their registry titles.

  • 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
  • M1157 — Patient received bone marrow transplant any time 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
  • M1163 — Patient had anaphylaxis due to the hpv vaccine any time on or before the patient's 13th birthday