Skip to main content
HCPCS Level II/M-Codes/M1211

M1211 HCPCS Level II Code: Most recent glycemic status assessment (hba1c or gmi) level > 9.0%

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, 2025

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

Most recent glycemic status assessment (hba1c or gmi) level > 9.0% is a HCPCS Level II code (M1211). CMS assigns coverage code C — Carrier judgment. Short description: Gsa level>9.0%.

Nearest Codes in This Family

Official HCPCS Level II classifications closest to M1211 in its code family, with their registry titles.

  • M1206 — Itch severity assessment score was not reduced by at least 3 points from initial (index) score to the follow-up visit score or assessment was not completed during the follow-up encounter
  • M1207 — Patient is screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety
  • M1208 — Patient is not screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety
  • M1209 — At least two orders for high-risk medications from the same drug class, (table 4), without appropriate diagnoses
  • M1210 — At least two orders for high-risk medications from the same drug class, (table 4), not ordered
  • M1212 — Glycemic status assessment (hba1c or gmi) level is missing, or was not performed during the measurement period
  • M1213 — No history of spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) and present spirometry is >= 70%
  • M1214 — Spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) documented and reviewed
  • M1215 — Documentation of medical reason(s) for not documenting and reviewing spirometry results (e.g., patients with dementia or tracheostomy)
  • M1216 — No spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) documented and/or no spirometry performed with results documented during the encounter