M1373 HCPCS Level II Code: Most recent glycemic status assessment (hba1c or gmi) level >= 8.0% and <= 9.0%
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
Most recent glycemic status assessment (hba1c or gmi) level >= 8.0% and <= 9.0% is a HCPCS Level II code (M1373). CMS assigns coverage code C — Carrier judgment. Short description: Mst rec gsa >=8 and <=9.
Nearest Codes in This Family
Official HCPCS Level II classifications closest to M1373 in its code family, with their registry titles.
- 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
- 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%
- 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
- M1375 — 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
- M1376 — 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
- M1377 — Recommended follow-up interval for repeat colonoscopy of 10 years documented in colonoscopy report and communicated with patient
- M1378 — Documentation of medical reason(s) for not recommending a 10 year follow-up interval (e.g., inadequate prep, familial or personal history of colonic polyps, patient had no adenoma and age is >= 66 years old, or life expectancy < 10 years, other medical reasons)