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HCPCS Level II/M-Codes/M1293

M1293 HCPCS Level II Code: Bmi is documented above normal parameters and a follow-up plan is documented

Medicare Coverage & Payment

  • 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.

Official Registry Overview & Definition

Bmi is documented above normal parameters and a follow-up plan is documented is a HCPCS Level II code (M1293). CMS assigns coverage code C — Carrier judgment. Short description: Calc bmi abv up param f/u.

Nearest Codes in This Family

Official HCPCS Level II classifications closest to M1293 in its code family, with their registry titles.

  • 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
  • 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
  • M1294 — Normal blood pressure reading documented, follow-up not required
  • M1295 — Patients with a diagnosis or past history of total colectomy or colorectal cancer
  • M1296 — Bmi is documented within normal parameters and no follow-up plan is required
  • M1297 — Bmi not documented due to medical reason or patient refusal of height or weight measurement
  • M1298 — Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter