M1258 HCPCS Level II Code: Cvd risk assessment performed, have a documented calculated risk score
Medicare Coverage & Payment
- Medicare coverage: Carrier judgment (CMS coverage code C)
- Payment category: Service not separately priced (pricing indicator 00)
- BETOS: Z2
- 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
Cvd risk assessment performed, have a documented calculated risk score is a HCPCS Level II code (M1258) for a Medicare-covered supply, service, or procedure. Short description: Cvd risk assess perf.
Nearest Codes in This Family
Official HCPCS Level II classifications closest to M1258 in its code family, with their registry titles.
- 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
- M1259 — Patient status documented within the first year of initiating dialysis
- M1260 — Patient status not documented within the first year of initiating dialysis
- M1261 — Patients that were on the kidney or kidney-pancreas waitlist prior to initiation of dialysis
- M1262 — Patients who had a transplant prior to initiation of dialysis
- M1263 — Patients in hospice on their initiation of dialysis date or during the month of evaluation