HCPCS Code Details - M1315

HCPCS Level II Code
Medical services
HCPCS Code M1315
Description

Long description:
Colorectal cancer screening results were not documented and reviewed; reason not otherwise specified

Short description:
Crc no doc no rsn

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 M1314 · Bmi not documented and no reason is given

  • HCPCS G0104 · Colorectal cancer screening; flexible sigmoidoscopy

  • HCPCS G0105 · Colorectal cancer screening; colonoscopy on individual at high risk

  • HCPCS G0106 · Colorectal cancer screening; alternative to g0104, screening sigmoidoscopy, barium enema

  • HCPCS G0120 · Colorectal cancer screening; alternative to g0105, screening colonoscopy, barium enema.

  • HCPCS G0121 · Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk

  • HCPCS G0122 · Colorectal cancer screening; barium enema

  • HCPCS G0327 · Colorectal cancer screening; blood-based biomarker

  • HCPCS G0328 · Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous

  • HCPCS G0464 · Colorectal cancer screening; stool-based dna and fecal occult hemoglobin (e.g., kras, ndrg4 and bmp3)

  • HCPCS M1277 · Colorectal cancer screening results documented and reviewed

  • HCPCS M1316 · Current tobacco non-user


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”