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HCPCS Level II/M-Codes/M1315

M1315 HCPCS Level II Code: Colorectal cancer screening results were not documented and reviewed; reason not otherwise specified

M1315 is the authoritative medical code for Colorectal cancer screening results were not documented and reviewed; reason not otherwise specified. This classification is used in medical billing and clinical recording to specify the clinical criteria for colorectal cancer screening results were not documented and reviewed; reason not otherwise specified (HCPCS Level II M1315), 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

Colorectal cancer screening results were not documented and reviewed; reason not otherwise specified is a HCPCS Level II code (M1315) for a Medicare-covered supply, service, or procedure. Short description: Crc no doc no rsn.

Nearest Codes in This Family

Official HCPCS Level II classifications closest to M1315 in its code family, with their registry titles.

  • 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
  • M1316 — Current tobacco non-user
  • M1317 — Patients who are counseled on connection with a csp and explicitly opt out
  • M1318 — Patients who did not have documented contact with a csp for at least one of their screened positive hrsns within 60 days after screening or documentation that there was no contact with a csp
  • M1319 — Patients who had documented contact with a csp for at least one of their screened positive hrsns within 60 days after screening
  • M1320 — Patients who screened positive for at least 1 of the 5 hrsns