HCPCS Code Details - M1293

HCPCS Level II Code
Medical services
HCPCS Code M1293
Description

Long description:
Bmi is documented above normal parameters and a follow-up plan is documented

Short description:
Calc bmi abv up param f/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 M1292 · Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and either one acute inpatient encounter with a diagnosis of advanced illness or two outpatient, observation, ed or nonacute inpatient encounters on different dates of service with an advanced illness diagnosis during the measurement period or the year prior to the measurement period

  • 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 M1296 · Bmi is documented within normal parameters and no follow-up plan is required

  • HCPCS M1294 · Normal blood pressure reading documented, follow-up not required


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”