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HCPCS Level II/M-Codes/M1318

M1318 HCPCS Level II Code: 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

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

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 is a HCPCS Level II code (M1318). CMS assigns coverage code C — Carrier judgment. Short description: Pts no csp doc contact.

Nearest Codes in This Family

Official HCPCS Level II classifications closest to M1318 in its code family, with their registry titles.

  • 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
  • M1315 — Colorectal cancer screening results were not documented and reviewed; reason not otherwise specified
  • M1316 — Current tobacco non-user
  • M1317 — Patients who are counseled on connection with a csp and explicitly opt out
  • 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
  • M1321 — Patients who were not seen within 7 weeks following the date of injection for follow up or who did not have a documented iop or no plan of care documented if the iop was >25 mm hg
  • M1322 — Patients seen within 7 weeks following the date of injection and are screened for elevated intraocular pressure (iop) with tonometry with documented iop =<25 mm hg for injected eye
  • M1323 — Patients seen within 7 weeks following the date of injection and are screened for elevated intraocular pressure (iop) with tonometry with documented iop >25 mm hg and a plan of care was documented