HCPCS Code Details - M1276

HCPCS Level II Code
Medical services
HCPCS Code M1276
Description

Long description:
Bmi documented outside normal parameters, no follow-up plan documented, no reason given

Short description:
Calc bmi out nrm param nof/u

HCPCS Modifier1
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 A - Add procedure or modifier code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2024
Date added Added Jan 01, 2024
HCPCS Coding Procedures

HCPCS Modifiers

In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
NU” identifies the hospital bed as new equipment

See also

  • HCPCS M1275 · Patients determined to be in hospice were excluded from month of evaluation and the remainder of reporting period

  • HCPCS G8419 · Bmi documented outside normal parameters, no follow-up plan documented, no reason given

  • HCPCS M1277 · Colorectal cancer screening results documented and reviewed


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”