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HCPCS Level II/M-Codes/M1347

M1347 HCPCS Level II Code: Patients who achieved a net increase in pam score of at least 3 points in a 4 to 12 month period (passing)

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, 2025

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 achieved a net increase in pam score of at least 3 points in a 4 to 12 month period (passing) is a HCPCS Level II code (M1347). CMS assigns coverage code C — Carrier judgment. Short description: Pt pam incr 3 pt 4-12 mo.

Nearest Codes in This Family

Official HCPCS Level II classifications closest to M1347 in its code family, with their registry titles.

  • M1342 — Patients who died during the performance period
  • M1343 — Patients who are at pam level 4 at baseline or patients who are flagged with extreme straight line response sets on the pam or with excessive missing responses
  • M1344 — Patients who did not have a baseline pam score and/or a second score within 4 to 12 months of baseline pam score
  • M1345 — Patients who had a baseline pam score and a second score within 4 to 12 month of baseline pam score
  • M1346 — Patients who did not have a net increase in pam score of at least 6 points within a 4 to 12 month period
  • M1348 — Patients who achieved a net increase in pam score of at least 6-points in a 4 to 12 month period (excellent)
  • M1349 — Patients who did not have a net increase in pam score of at least 3 points within a 4 to 12 month period
  • M1350 — Patients who had a completed suicide safety plan initiated, reviewed or updated in collaboration with their clinician (concurrent or within 24 hours) of the index clinical encounter
  • M1351 — Patients who had a suicide safety plan initiated, reviewed, or updated and reviewed and updated in collaboration with the patient and their clinician concurrent or within 24 hours of clinical encounter and within 120 days after initiation
  • M1352 — Suicidal ideation and/or behavior symptoms based on the c-ssrs or equivalent assessment