HCPCS Code M1290

Patient not eligible due to active diagnosis of hypertension
Code effective Jan 01, 2024

M1290 is a valid 2026 HCPCS code meaning Patient not eligible due to active diagnosis of hypertension or (Pt not eli d/t act dig htn) for short. HCPCS M1290 has been effective since 01/01/2024 and applies to Medical care.

HCPCS Code Details - M1290
HCPCS Level II Code Section M - Medical services
HCPCS Code	`M1290`
Description	Long description: Patient not eligible due to active diagnosis of hypertension Short description: Pt not eli d/t act dig htn
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, 2024

HCPCS M1289 · Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy)
HCPCS G8784 · Patient not eligible (e.g., documentation the patient is not eligible due to active diagnosis of hypertension, patient refuses, urgent or emergent situation)
HCPCS G9744 · Patient not eligible due to active diagnosis of hypertension
HCPCS M1291 · Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period

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

HCPCS Code M1290

HCPCS Code Details - M1290

See also

HCPCS M1289 · Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy)

HCPCS G8784 · Patient not eligible (e.g., documentation the patient is not eligible due to active diagnosis of hypertension, patient refuses, urgent or emergent situation)

HCPCS G9744 · Patient not eligible due to active diagnosis of hypertension

HCPCS M1291 · Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period