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HCPCS Level II/M-Codes/M1281

M1281 HCPCS Level II Code: Blood pressure reading not documented, reason not given

M1281 is the authoritative medical code for Blood pressure reading not documented, reason not given. This classification is used in medical billing and clinical recording to specify the clinical criteria for blood pressure reading not documented, reason not given (HCPCS Level II M1281), ensuring healthcare documentation aligns with current federal coding standards.

Billing Status: Processed within HCPCS Level II standards. CMS regulatory guidelines apply.

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

Blood pressure reading not documented, reason not given is a HCPCS Level II code (M1281) for a Medicare-covered supply, service, or procedure. Short description: Bp scrn no perf at interval.

Nearest Codes in This Family

Official HCPCS Level II classifications closest to M1281 in its code family, with their registry titles.

  • M1276 — Bmi documented outside normal parameters, no follow-up plan documented, no reason given
  • M1277 — Colorectal cancer screening results documented and reviewed
  • M1278 — Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented
  • M1279 — Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given
  • M1280 — Women who had a bilateral mastectomy or who have a history of a bilateral mastectomy or for whom there is evidence of a right and a left unilateral mastectomy
  • M1282 — Patient screened for tobacco use and identified as a tobacco non-user
  • M1283 — Patient screened for tobacco use and identified as a tobacco user
  • M1284 — Patients age 66 or older in institutional special needs plans (snp) or residing in long term care with pos code 32, 33, 34, 54, or 56 for more than 90 consecutive days during the measurement period
  • M1285 — Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified
  • M1286 — Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason