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HCPCS Level II/M-Codes/M1309

M1309 HCPCS Level II Code: Palliative care services provided to patient any time during the measurement period

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

Palliative care services provided to patient any time during the measurement period is a HCPCS Level II code (M1309). CMS assigns coverage code C — Carrier judgment. Short description: Pall serv during meas.

Nearest Codes in This Family

Official HCPCS Level II classifications closest to M1309 in its code family, with their registry titles.

  • M1304 — Patient did not receive any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period
  • M1305 — Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period
  • M1306 — Patient had anaphylaxis due to the pneumococcal vaccine any time during or before the measurement period
  • M1307 — Documentation stating the patient has received or is currently receiving palliative or hospice care
  • M1308 — Influenza immunization was not administered, reason not given
  • M1310 — Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both), if identified as a tobacco user
  • M1311 — Anaphylaxis due to the vaccine on or before the date of the encounter
  • M1312 — Patient not screened for tobacco use
  • M1313 — Tobacco screening not performed or tobacco cessation intervention not provided during the measurement period or in the six months prior to the measurement period
  • M1314 — Bmi not documented and no reason is given