HCPCS Code M1197

Itch severity assessment score is reduced by 3 or more points from the initial (index) assessment score to the follow-up visit score
Code effective Jan 01, 2024

HCPCS Section
Medical services

M1197 is a valid 2026 HCPCS code meaning Itch severity assessment score is reduced by 3 or more points from the initial (index) assessment score to the follow-up visit score or (Isa reduced >=3 fr ixv) for short. HCPCS M1197 has been effective since 01/01/2024 and applies to Medical care.

HCPCS Code Details - M1197

HCPCS Level II Code
Section M - Medical services
HCPCS Code M1197
Description

Long description:
Itch severity assessment score is reduced by 3 or more points from the initial (index) assessment score to the follow-up visit score

Short description:
Isa reduced >=3 fr ixv

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, 2024
Date added Added Jan 01, 2023

See also

  • HCPCS M1196 · Initial (index visit) numeric rating scale (nrs), visual rating scale (vrs), or itchyquant assessment score of greater than or equal to 4

  • HCPCS M1198 · Itch severity assessment score was not reduced by at least 3 points from initial (index) score to the follow-up visit score or assessment was not completed during the follow-up encounter

  • HCPCS M1205 · Itch severity assessment score is reduced by 3 or more points from the initial (index) assessment score to the follow-up visit score

  • HCPCS M1206 · Itch severity assessment score was not reduced by at least 3 points from initial (index) score to the follow-up visit score or assessment was not completed during the follow-up encounter

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 7/13/2026

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