HCPCS Code M1321

Patients who were not seen within 7 weeks following the date of injection for follow up or who did not have a documented iop or no plan of care documented if the iop was >25 mm hg
Code effective Jan 01, 2024

HCPCS Section
Medical services

M1321 is a valid 2026 HCPCS code meaning Patients who were not seen within 7 weeks following the date of injection for follow up or who did not have a documented iop or no plan of care documented if the iop was >25 mm hg or (Pts no 7wk inj,no iop,iop>25) for short. HCPCS M1321 has been effective since 01/01/2024 and applies to Medical care.

HCPCS Code Details - M1321

HCPCS Level II Code
Section M - Medical services
HCPCS Code M1321
Description

Long description:
Patients who were not seen within 7 weeks following the date of injection for follow up or who did not have a documented iop or no plan of care documented if the iop was >25 mm hg

Short description:
Pts no 7wk inj,no iop,iop>25

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 M1320 · Patients who screened positive for at least 1 of the 5 hrsns

  • HCPCS G9448 · Patients who were born in the years 1945 to 1965

  • HCPCS G9897 · Patients who were not prescribed/administered androgen deprivation therapy in combination with external beam radiotherapy to the prostate, reason not given

  • HCPCS M1022 · Patients who were in hospice at any time during the performance period

  • HCPCS M1025 · Patients who were in hospice at any time during the performance period

  • HCPCS M1026 · Patients who were in hospice at any time during the performance period

  • HCPCS M1254 · Patients who were deceased when the hu survey reached them

  • HCPCS M1273 · Patients who were admitted to a skilled nursing facility (snf) within one year of dialysis initiation according to the cms-2728 form

  • HCPCS M1274 · Patients who were admitted to a skilled nursing facility (snf) during the month of evaluation were excluded from that month

  • HCPCS M1325 · Patients who were not seen for reasons documented by clinician for patient or medical reasons (e.g., inadequate time for follow-up, patients who received a prior intravitreal or periocular steroid injection within the last six (6) months and had a subsequent iop evaluation with iop <25mm hg within seven (7) weeks of treatment)

  • HCPCS M1327 · Patients who were not appropriately evaluated during the initial exam and/or who were not re-evaluated within 8 weeks

  • HCPCS M1331 · Patients who were appropriately evaluated during the initial exam and were re-evaluated no later than 8 weeks from initial exam

  • HCPCS M1332 · Patients who were not appropriately evaluated during the initial exam and/or who were not re-evaluated within 2 weeks

  • HCPCS M1336 · Patients who were appropriately evaluated during the initial exam and were re-evaluated no later than 2 weeks

  • HCPCS M1393 · Patients who were not diagnosed with recurrent melanoma during the current performance period

  • HCPCS M1322 · Patients seen within 7 weeks following the date of injection and are screened for elevated intraocular pressure (iop) with tonometry with documented iop =<25 mm hg for injected eye

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.