M1369 HCPCS Level II Code: Quality care in mental health and substance use disorders mips value pathway
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
Quality care in mental health and substance use disorders mips value pathway is a HCPCS Level II code (M1369). CMS assigns coverage code C — Carrier judgment. Short description: Qualcare mental hlth/sud mvp.
Nearest Codes in This Family
Official HCPCS Level II classifications closest to M1369 in its code family, with their registry titles.
- M1364 — Calculated 10-year ascvd risk score of >= 20 percent during the performance period
- M1365 — Patient encounter during the performance period with hospice and palliative care specialty code 17
- 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
- M1370 — Rehabilitative support for musculoskeletal care mips value pathway
- M1371 — Most recent glycemic status assessment (hba1c or gmi) level < 7.0%
- M1372 — Most recent glycemic status assessment (hba1c or gmi) level >= 7.0% and < 8.0%
- M1373 — Most recent glycemic status assessment (hba1c or gmi) level >= 8.0% and <= 9.0%
- M1374 — An additional encounter with an ra diagnosis during the performance period or prior performance period that is at least 90 days before or after an encounter with an ra diagnosis during the performance period