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HCPCS Level II/M-Codes/M1355

M1355 HCPCS Level II Code: Suicide risk based on their clinician's evaluation or a clinician-rated tool

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

Suicide risk based on their clinician's evaluation or a clinician-rated tool is a HCPCS Level II code (M1355) for a Medicare-covered supply, service, or procedure. Short description: Suicd based cln eval.

Nearest Codes in This Family

Official HCPCS Level II classifications closest to M1355 in its code family, with their registry titles.

  • 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
  • M1353 — Patients who did not have a completed suicide safety plan initiated, reviewed or updated in collaboration with their clinician (concurrent or within 24 hours) of the index clinical encounter
  • M1354 — Patients who did not have a suicide safety plan initiated, reviewed, or updated or 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
  • M1356 — Patients who died during the measurement period
  • M1357 — Patients who had a reduction in suicidal ideation and/or behavior upon follow-up assessment within 120 days of index assessment
  • M1358 — Patients who did not have a reduction in suicidal ideation and/or behavior upon follow-up assessment within 120 days of index assessment
  • M1359 — Index assessment during the denominator period when the suicidal ideation and/or behavior symptoms or increased suicide risk by clinician determination occurs and a non-zero c-ssrs score is obtained
  • M1360 — Suicidal ideation and/or behavior symptoms based on the c-ssrs