HCPCS Code M1296

Bmi is documented within normal parameters and no follow-up plan is required
Code effective Jan 01, 2024

HCPCS Section
Medical services

M1296 is a valid 2026 HCPCS code meaning Bmi is documented within normal parameters and no follow-up plan is required or (Calc bmi norm parameters) for short. HCPCS M1296 has been effective since 01/01/2024 and applies to Medical care.

HCPCS Code Details - M1296

HCPCS Level II Code
Section M - Medical services
HCPCS Code M1296
Description

Long description:
Bmi is documented within normal parameters and no follow-up plan is required

Short description:
Calc bmi norm parameters

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 M1295 · Patients with a diagnosis or past history of total colectomy or colorectal cancer

  • 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 M1293 · Bmi is documented above normal parameters and a follow-up plan is documented

  • HCPCS M1297 · Bmi not documented due to medical reason or patient refusal of height or weight measurement

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.