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M1441 HCPCS Level II Code: Encounter corresponds to initial diagnosis of sleep apnea or first contact with sleep apnea diagnosed patient

Medicare Coverage & Payment

  • CMS short descriptor: Init dx slp apn = 1st enc
  • 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, 2026

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

Encounter corresponds to initial diagnosis of sleep apnea or first contact with sleep apnea diagnosed patient is a HCPCS Level II code (M1441). CMS assigns coverage code C — Carrier judgment. Short description: Init dx slp apn = 1st enc.

Change history

  • 2026-01-01
    Added to the code set
    Encounter corresponds to initial diagnosis of sleep apnea or first contact with sleep apnea diagnosed patient

Contextual Map

Every relationship of M1441 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Nearest codes (40)

  • M1421 — Dermatological care mips value pathway [Sibling]
  • M1422 — Gastroenterology care mips value pathway [Sibling]
  • M1423 — Optimal care for patients with urologic conditions mips value pathway [Sibling]
  • M1424 — Pulmonology care mips value pathway [Sibling]
  • M1425 — Surgical care mips value pathway [Sibling]
  • M1426 — Encounters conducted via telehealth [Sibling]
  • M1427 — Documentation of medical reason(s) for performing a bone scan (including documented pain related to prostate cancer, salvage therapy, other medical reasons) [Sibling]
  • M1428 — Patients who have bilateral absence of eyes any time during the patient's history through the end of the measurement period [Sibling]
  • and 32 more

Change history

  • 2026-01-01 — Added to the code set [Change history]

Nearest Codes in This Family

Official HCPCS Level II classifications closest to M1441 in its code family, with their registry titles.

  • M1436 — Encounters conducted via telehealth
  • M1437 — Encounters conducted via telehealth
  • M1438 — Time last known well to hospital arrival less than or equal to 3.5 hours (<= 210 minutes)
  • M1439 — Significant ocular conditions that impact the visual outcome of surgery
  • M1440 — Encounters conducted via telehealth
  • M1442 — Encounters conducted via telehealth
  • M1443 — Encounters conducted via telehealth
  • M1444 — Delivery at < 39 weeks of gestation
  • M1445 — Postpartum care visit before or at 12 weeks of giving birth
  • M1446 — Patients who died any time prior to the end of the measure assessment period