M1365 HCPCS Level II Code: Patient encounter during the performance period with hospice and palliative care specialty code 17
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
Patient encounter during the performance period with hospice and palliative care specialty code 17 is a HCPCS Level II code (M1365). CMS assigns coverage code C — Carrier judgment. Short description: Hosp+pall care spec code 17.
Nearest Codes in This Family
Official HCPCS Level II classifications closest to M1365 in its code family, with their registry titles.
- M1360 — Suicidal ideation and/or behavior symptoms based on the c-ssrs
- M1361 — Suicide risk based on their clinician's evaluation or a clinician-rated tool
- M1362 — Patients who died during the measurement period
- M1363 — Patients who did not have a follow-up assessment within 120 days of the index assessment
- M1364 — Calculated 10-year ascvd risk score of >= 20 percent during the performance period
- M1366 — Focusing on women's health mips value pathway
- M1367 — Quality care for the treatment of ear, nose, and throat disorders mips value pathway
- M1368 — Prevention and treatment of infectious disorders including hepatitis c and hiv mips value pathway
- M1369 — Quality care in mental health and substance use disorders mips value pathway
- M1370 — Rehabilitative support for musculoskeletal care mips value pathway