M1285 HCPCS Level II Code: Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified
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
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Medicare Coverage & Payment
- CMS short descriptor: Scrn mam perf rslts not doc
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 M1285 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)
- M1259 — Patient status documented within the first year of initiating dialysis[Sibling]— CMS HCPCS Level II code set
- M1260 — Patient status not documented within the first year of initiating dialysis[Sibling]— CMS HCPCS Level II code set
- M1261 — Patients that were on the kidney or kidney-pancreas waitlist prior to initiation of dialysis[Sibling]— CMS HCPCS Level II code set
- M1262 — Patients who had a transplant prior to initiation of dialysis[Sibling]— CMS HCPCS Level II code set
- M1263 — Patients in hospice on their initiation of dialysis date or during the month of evaluation[Sibling]— CMS HCPCS Level II code set
- M1264 — Patients age 75 or older on their initiation of dialysis date[Sibling]— CMS HCPCS Level II code set
- M1265 — Cms medical evidence form 2728 for dialysis patients: initial form completed[Sibling]— CMS HCPCS Level II code set
- M1266 — Patients admitted to a skilled nursing facility (snf)[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. "M1285 — Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified." HCPCS Level II October 2026. https://medcoder.ai/hcpcs/code/m1285-screening-diagnostic-film-digital-or-digital-breast-tomosynthesis-3d-mammography
Change history
- January 1, 2024Added to the code setScreening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specifiedHCPCS 2024 changes
Nearest Codes in This Family
Official HCPCS Level II classifications closest to M1285 in its code family, with their registry titles.
- 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
- M1281 — Blood pressure reading not documented, reason not given
- 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
- M1286 — Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason
- M1287 — Bmi is documented below normal parameters and a follow-up plan is documented
- M1288 — Documented reason for not screening or recommending a follow-up for high blood pressure
- M1289 — Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy)
- M1290 — Patient not eligible due to active diagnosis of hypertension