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HCPCS Level II/M-Codes/M1297

M1297 HCPCS Level II Code: Bmi not documented due to medical reason or patient refusal of height or weight measurement

M1297 is the authoritative medical code for Bmi not documented due to medical reason or patient refusal of height or weight measurement. This classification is used in medical billing and clinical recording to specify the clinical criteria for bmi not documented due to medical reason or patient refusal of height or weight measurement (HCPCS Level II M1297), 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

Bmi not documented due to medical reason or patient refusal of height or weight measurement is a HCPCS Level II code (M1297) for a Medicare-covered supply, service, or procedure. Short description: Bmi not doc medrsn ptref.

Nearest Codes in This Family

Official HCPCS Level II classifications closest to M1297 in its code family, with their registry titles.

  • 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
  • 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
  • M1298 — Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter
  • M1299 — Influenza immunization administered or previously received