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M1252 HCPCS Level II Code: Patients who did not complete at least one of the four patient experience hu survey items and return the hu survey within 60 days of the ambulatory palliative care visit

Medicare Coverage & Payment

  • CMS short descriptor: Pts no cmplt hu survey
  • 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

Patients who did not complete at least one of the four patient experience hu survey items and return the hu survey within 60 days of the ambulatory palliative care visit is a HCPCS Level II code (M1252). CMS assigns coverage code C — Carrier judgment. Short description: Pts no cmplt hu survey.

Change history

  • 2024-01-01
    Added to the code set
    Patients who did not complete at least one of the four patient experience hu survey items and return the hu survey within 60 days of the ambulatory palliative care visit

Contextual Map

Every relationship of M1252 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Nearest codes (40)

  • M1232 — Patient receives hcv antibody test with reactive result [Sibling]
  • M1233 — Patient does not receive hcv antibody test or patient does receive hcv antibody test but results not documented, reason not given [Sibling]
  • M1234 — Patient has a reactive hcv antibody test, and has a follow up hcv viral test that does not detect hcv viremia [Sibling]
  • M1235 — Documentation or patient report of hcv antibody test or hcv rna test which occurred prior to the performance period [Sibling]
  • M1236 — Baseline mrs > 2 [Sibling]
  • M1237 — Patient reason for not screening for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety (e.g., patient declined or other patient reasons) [Sibling]
  • M1238 — Documentation that administration of second recombinant zoster vaccine could not occur during the performance period due to the recommended 2-6 month interval between doses (i.e, first dose received after october 31) [Sibling]
  • M1239 — Patient did not respond to the question of patient felt heard and understood by this provider and team [Sibling]
  • and 32 more

Change history

  • 2024-01-01 — Added to the code set [Change history]

Nearest Codes in This Family

Official HCPCS Level II classifications closest to M1252 in its code family, with their registry titles.

  • M1247 — Patient responded "completely true" for the question of patient felt this provider and team put my best interests first when making recommendations about my care
  • M1248 — Patient responded "completely true" for the question of patient felt this provider and team saw me as a person, not just someone with a medical problem
  • M1249 — Patient responded "completely true" for the question of patient felt this provider and team understood what is important to me in my life
  • M1250 — Patient responded as "completely true" for the question of patient felt heard and understood by this provider and team
  • M1251 — Patients for whom a proxy completed the entire hu survey on their behalf for any reason (no patient involvement)
  • M1253 — Patients who respond on the patient experience hu survey that they did not receive care by the listed ambulatory palliative care provider in the last 60 days (disavowal)
  • M1254 — Patients who were deceased when the hu survey reached them
  • M1255 — Patients who have another reason for visiting the clinic [not prenatal or postpartum care] and have a positive pregnancy test but have not established the clinic as an ob provider (e.g., plan to terminate the pregnancy or seek prenatal services elsewhere)
  • M1256 — Prior history of known cvd
  • M1257 — Cvd risk assessment not performed or incomplete (e.g., cvd risk assessment was not documented), reason not otherwise specified