HCPCS Code M1028

Documentation of patients with primary headache diagnosis and imaging other than ct or mri obtained
Code effective Jan 01, 2019

HCPCS Section
Medical services

M1028 is a valid 2026 HCPCS code meaning Documentation of patients with primary headache diagnosis and imaging other than ct or mri obtained or (Doc of pt prm hda dx and otr) for short. HCPCS M1028 has been effective since 01/01/2019 and applies to Medical care.

HCPCS Code Details - M1028

HCPCS Level II Code
Section M - Medical services
HCPCS Code M1028
Description

Long description:
Documentation of patients with primary headache diagnosis and imaging other than ct or mri obtained

Short description:
Doc of pt prm hda dx and otr

HCPCS Pricing indicator 00 - Physician Fee Schedule And Non-Physician Practitioners - Service not separately priced by part B (e.g., services not covered, bundled, used by Part A only, etc.)
Multiple pricing indicator 9 - Not applicable as HCPCS not priced separately by part B or value is not established
Coverage code C - Carrier judgment
BETOS2 code Z2 - Undefined codes
HCPCS Action code N - No maintenance for this code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2019
Date added Added Jan 01, 2019

See also

  • HCPCS M1027 · Imaging of the head (ct or mri) was obtained

  • HCPCS G9783 · Documentation of patients with diabetes who have a most recent fasting or direct ldl- c laboratory test result < 70 mg/dl and are not taking statin therapy

  • HCPCS M1029 · Imaging of the head (ct or mri) was not obtained, reason not given

1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”

HCPCS Level II codes and descriptors are approved and maintained jointly by the alpha-numeric editorial panel (consisting of CMS, the Health Insurance Association of America, and the Blue Cross and Blue Shield Association). — Updated 6/23/2026

CPT® is a registered trademark of the American Medical Association (AMA). All rights reserved.