HCPCS Code M1295

Patients with a diagnosis or past history of total colectomy or colorectal cancer
Code effective Jan 01, 2024

HCPCS Section
Medical services

M1295 is a valid 2026 HCPCS code meaning Patients with a diagnosis or past history of total colectomy or colorectal cancer or (Pt hx tot col or colon ca) for short. HCPCS M1295 has been effective since 01/01/2024 and applies to Medical care.

HCPCS Code Details - M1295

HCPCS Level II Code
Section M - Medical services
HCPCS Code M1295
Description

Long description:
Patients with a diagnosis or past history of total colectomy or colorectal cancer

Short description:
Pt hx tot col or colon ca

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

  • HCPCS G0050 · Patients with a catheter that have limited life expectancy

  • HCPCS G9202 · Patients with a positive hepatitis c antibody test

  • HCPCS G9535 · Patients with a normal neurological examination

  • HCPCS G9711 · Patients with a diagnosis or past history of total colectomy or colorectal cancer

  • HCPCS G9799 · Patients with a medication dispensing event indicator of a history of asthma any time during the patient's history through the end of the measure period

  • HCPCS M1018 · Patients with an active diagnosis or history of cancer (except basal cell and squamous cell skin carcinoma), patients who are heavy tobacco smokers, lung cancer screening patients

  • HCPCS M1037 · Patients with a diagnosis of lumbar spine region cancer at the time of the procedure

  • HCPCS M1038 · Patients with a diagnosis of lumbar spine region fracture at the time of the procedure

  • HCPCS M1039 · Patients with a diagnosis of lumbar spine region infection at the time of the procedure

  • HCPCS M1040 · Patients with a diagnosis of lumbar idiopathic or congenital scoliosis

  • HCPCS M1151 · Patients with a history of heart transplant or with a left ventricular assist device (lvad)

  • HCPCS M1152 · Patients with a history of heart transplant or with a left ventricular assist device (lvad)

  • HCPCS M1187 · Patients with a diagnosis of end stage renal disease (esrd)

  • HCPCS M1188 · Patients with a diagnosis of chronic kidney disease (ckd) stage 5

  • HCPCS M1192 · Patients with an existing diagnosis of squamous cell carcinoma of the esophagus

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

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