HCPCS Code M1386

Patients with an excisional surgery for melanoma or melanoma in situ in the past 5 years with an initial ajcc staging of 0, i, or ii at the start of the performance period
Code effective Jan 01, 2025

HCPCS Section
Medical services

M1386 is a valid 2026 HCPCS code meaning Patients with an excisional surgery for melanoma or melanoma in situ in the past 5 years with an initial ajcc staging of 0, i, or ii at the start of the performance period or (Exc sx melmn or mlnm is) for short. HCPCS M1386 has been effective since 01/01/2025 and applies to Medical care.

HCPCS Code Details - M1386

HCPCS Level II Code
Section M - Medical services
HCPCS Code M1386
Description

Long description:
Patients with an excisional surgery for melanoma or melanoma in situ in the past 5 years with an initial ajcc staging of 0, i, or ii at the start of the performance period

Short description:
Exc sx melmn or mlnm is

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, 2025
Date added Added Jan 01, 2025

See also

  • HCPCS M1385 · Documentation of patient reasons for patients who were not seen for the second pam survey (e.g., less than four months between baseline pam assessment and follow-up

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

  • HCPCS M1447 · Patients with an active diagnosis of bipolar disorder any time prior to the end of the measure assessment period

  • HCPCS M1448 · Patients with an active diagnosis of personality disorder any time prior to the end of the measure assessment period

  • HCPCS M1449 · Patients with an active diagnosis of schizophrenia or psychotic disorder any time prior to the end of the measure assessment period

  • HCPCS M1451 · Patients with an active diagnosis of pervasive developmental disorder any time prior to the end of the measure assessment period

  • HCPCS M1467 · Patients with an existing diagnosis of lynch syndrome

  • HCPCS M1387 · Patients who died during the performance period

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.