HCPCS Code M1293

Bmi is documented above normal parameters and a follow-up plan is documented
Code effective Jan 01, 2024

HCPCS Section
Medical services

M1293 is a valid 2026 HCPCS code meaning Bmi is documented above normal parameters and a follow-up plan is documented or (Calc bmi abv up param f/u) for short. HCPCS M1293 has been effective since 01/01/2024 and applies to Medical care.


HCPCS Code Details - M1293

HCPCS Level II Code
Section M - Medical services
HCPCS Code M1293
Description

Long description:
Bmi is documented above normal parameters and a follow-up plan is documented

Short description:
Calc bmi abv up param f/u

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

See also

  • HCPCS M1292 · Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and an advanced illness diagnosis during the measurement period or the year prior to the measurement period

  • HCPCS G8417 · Bmi is documented above normal parameters and a follow-up plan is documented

  • HCPCS G8418 · Bmi is documented below normal parameters and a follow-up plan is documented

  • HCPCS G8420 · Bmi is documented within normal parameters and no follow-up plan is required

  • HCPCS G8938 · Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible

  • HCPCS G9716 · Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason

  • HCPCS M1286 · Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason

  • HCPCS M1287 · Bmi is documented below normal parameters and a follow-up plan is documented

  • HCPCS M1296 · Bmi is documented within normal parameters and no follow-up plan is required

  • HCPCS M1294 · Normal blood pressure reading documented, follow-up not required

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

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