HCPCS Code M1364

Calculated 10-year ascvd risk score of >= 20 percent during the performance period
Code effective Jan 01, 2024

HCPCS Section
Medical services

M1364 is a valid 2026 HCPCS code meaning Calculated 10-year ascvd risk score of >= 20 percent during the performance period or (Ascvd risk >=20pct) for short. HCPCS M1364 has been effective since 01/01/2024 and applies to Medical care.

HCPCS Code Details - M1364

HCPCS Level II Code
Section M - Medical services
HCPCS Code M1364
Description

Long description:
Calculated 10-year ascvd risk score of >= 20 percent during the performance period

Short description:
Ascvd risk >=20pct

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 M1363 · Patients who did not have a follow-up assessment within 120 days of the index assessment

  • HCPCS M1365 · Patient encounter during the performance period with hospice and palliative care specialty code 17

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.