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HCPCS Level II/M-Codes/M1288

M1288 HCPCS Level II Code: Documented reason for not screening or recommending a follow-up for high blood pressure

M1288 is the authoritative medical code for Documented reason for not screening or recommending a follow-up for high blood pressure. This classification is used in medical billing and clinical recording to specify the clinical criteria for documented reason for not screening or recommending a follow-up for high blood pressure (HCPCS Level II M1288), 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

Documented reason for not screening or recommending a follow-up for high blood pressure is a HCPCS Level II code (M1288) for a Medicare-covered supply, service, or procedure. Short description: Doc rsn no hbp scrn or f/u.

Nearest Codes in This Family

Official HCPCS Level II classifications closest to M1288 in its code family, with their registry titles.

  • 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
  • M1287 — Bmi is documented below normal parameters and a follow-up plan is documented
  • 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
  • M1291 — Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period
  • M1292 — Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and an advanced illness diagnosis during the measurement period or the year prior to the measurement period
  • M1293 — Bmi is documented above normal parameters and a follow-up plan is documented