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HCPCS Level II/M-Codes/M1332

M1332 HCPCS Level II Code: Patients who were not appropriately evaluated during the initial exam and/or who were not re-evaluated within 2 weeks

M1332 is the authoritative medical code for Patients who were not appropriately evaluated during the initial exam and/or who were not re-evaluated within 2 weeks. This classification is used in medical billing and clinical recording to specify the clinical criteria for patients who were not appropriately evaluated during the initial exam and/or who were not re-evaluated within 2 weeks (HCPCS Level II M1332), 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

Patients who were not appropriately evaluated during the initial exam and/or who were not re-evaluated within 2 weeks is a HCPCS Level II code (M1332) for a Medicare-covered supply, service, or procedure. Short description: Pts no eval ini xm no 2 wks.

Nearest Codes in This Family

Official HCPCS Level II classifications closest to M1332 in its code family, with their registry titles.

  • M1327 — Patients who were not appropriately evaluated during the initial exam and/or who were not re-evaluated within 8 weeks
  • M1328 — Patients with a diagnosis of acute vitreous hemorrhage
  • M1329 — Patients with a post-operative encounter of the eye with the acute pvd within 2 weeks before the initial encounter or 8 weeks after initial acute pvd encounter
  • M1330 — Documentation of patient reason(s) for not having a follow up exam (e.g., inadequate time for follow up)
  • M1331 — Patients who were appropriately evaluated during the initial exam and were re-evaluated no later than 8 weeks from initial exam
  • M1333 — Acute vitreous hemorrhage
  • M1334 — Patients with a post-operative encounter of the eye with the acute pvd within 2 weeks before the initial encounter or 2 weeks after initial acute pvd encounter
  • M1335 — Documentation of patient reason(s) for not having a follow up exam (e.g., inadequate time for follow up)
  • M1336 — Patients who were appropriately evaluated during the initial exam and were re-evaluated no later than 2 weeks
  • M1337 — Acute pvd