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HCPCS Level II/M-Codes/M1214

M1214 HCPCS Level II Code: Spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) documented and reviewed

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

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

Spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) documented and reviewed is a HCPCS Level II code (M1214). CMS assigns coverage code C — Carrier judgment. Short description: Spiro results wth obs doc.

Nearest Codes in This Family

Official HCPCS Level II classifications closest to M1214 in its code family, with their registry titles.

  • 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
  • M1211 — Most recent glycemic status assessment (hba1c or gmi) level > 9.0%
  • 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%
  • 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
  • M1217 — Documentation of system reason(s) for not documenting and reviewing spirometry results (e.g., spirometry equipment not available at the time of the encounter)
  • M1218 — Patient has copd symptoms (e.g., dyspnea, cough/sputum, wheezing)
  • M1219 — Anaphylaxis due to the vaccine on or before the date of the encounter