M1253 HCPCS Level II Code: 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)
HCPCS Level II code, maintained by CMS. Not a CPT code: CPT (HCPCS Level I) is a separate AMA code set that MedCoder does not publish. About HCPCS Level II
Compare with another code for M1253Check this code on a claim
Code status: Valid code · October 2026. A valid code in the CMS HCPCS Level II October 2026 file. Valid is not covered or payable: Medicare payment and coverage are shown below in CMS’s own terms.
Medicare Coverage & Payment
- CMS short descriptor: Pts hu surv no amb plltv
- 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.
Coding context
Guidelines, coding notes, decision aids, relationships (with MS-DRG and CCSR classification), hierarchy, HCC, coverage and the context map: what a coder reaches for after the core. Each section names whether it is official source data, a MedCoder-derived relationship or MedCoder editorial.
Contextual Map
Every relationship of M1253 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)
- M1233 — Patient does not receive hcv antibody test or patient does receive hcv antibody test but results not documented, reason not given[Sibling]— CMS HCPCS Level II code set
- M1234 — Patient has a reactive hcv antibody test, and has a follow up hcv viral test that does not detect hcv viremia[Sibling]— CMS HCPCS Level II code set
- M1235 — Documentation or patient report of hcv antibody test or hcv rna test which occurred prior to the performance period[Sibling]— CMS HCPCS Level II code set
- M1236 — Baseline mrs > 2[Sibling]— CMS HCPCS Level II code set
- 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]— CMS HCPCS Level II code set
- 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]— CMS HCPCS Level II code set
- M1239 — Patient did not respond to the question of patient felt heard and understood by this provider and team[Sibling]— CMS HCPCS Level II code set
- M1240 — Patient did not respond to the question of patient felt this provider and team put my best interests first when making recommendations about my care[Sibling]— CMS HCPCS Level II code set
- and 32 more
Change history
- January 1, 2024 — Added to the code set [Change history]— CMS release files (code change ledger)
Reference
Index terms and tables, published questions and FAQ, every source behind this page with its release and checksum, the date-of-service check and the complete change history.
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, descriptors, coverage and pricing attributes Official source data
- CMS HCPCS Alpha-Numeric (ANWEB) release — October 2026 quarterly update Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS HCPCS quarterly update files, ingested into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder-derived relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder editorial explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources
Labels on this page: Official source data · MedCoder-derived relationship · MedCoder editorial explanation. How to read the labels · All data sources and release dates · CMS coding rules
Cite this page
Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.
MedCoder.ai. "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)." HCPCS Level II October 2026. https://medcoder.ai/hcpcs/code/m1253-patients-who-respond-on-the-patient-experience-hu-survey-that
Change history
- January 1, 2024Added to the code setPatients 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)HCPCS 2024 changes
Nearest Codes in This Family
Official HCPCS Level II classifications closest to M1253 in its code family, with their registry titles.
- 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)
- M1252 — 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
- 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…
- 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
- M1258 — Cvd risk assessment performed, have a documented calculated risk score