M1297 HCPCS - BMI NOT DOCUMENTED DUE TO MEDICAL REASON OR PATIENT REFUSAL OF HEIGHT OR WEIGHT MEASUREMENT

Code Information

  • HCPCS Code: M1297
  • Sequence Number: 0010
  • Short Description: Bmi not doc medrsn ptref
  • Long Description: Bmi not documented due to medical reason or patient refusal of height or weight measurement
  • Date Added: 1/1/2024
  • Action Code: N - No maintenance for this code
  • Action Effective Date: 1/1/2024
  • Classification: Medical Services
  • Coding System: HCPCS

Code Type

  • Berenson-Eggers Type Of Service Code: Z2 - Undefined codes
  • Type Of Service Code:
    • 1 - Whole blood only eff 01/96, whole blood or packed red cells before 01/96

Billing Information

  • Pricing Indicator Code:
    • 00 - Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)
  • Multiple Pricing Indicator Code: 9 - Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
  • Coverage Issues Manual Reference Section Number:
      N/A
    • Medicare Carriers Manual Reference Section Number:
        N/A
      • Coverage Code: C - Carrier judgment

      HCPCS Record

      Field Name Field Value
      Healthcare Common Procedure Coding System Code M1297
      HCPCS Sequence Number 0010
      HCPCS Record Identification Code 3 - First line of procedure record also contains detail information in positions 92-275
      HCPCS Long Description Bmi not documented due to medical reason or patient refusal of height or weight measurement
      HCPCS Short Description Bmi not doc medrsn ptref
      HCPCS Pricing Indicator Code 1 00 - Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)
      HCPCS Multiple Pricing Indicator Code 9 - Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
      HCPCS Coverage Code C - Carrier judgment
      HCPCS Berenson-Eggers Type Of Service Code Z2 - Undefined codes
      HCPCS Type Of Service Code 1 1 - Whole blood only eff 01/96, whole blood or packed red cells before 01/96
      HCPCS Anesthesia Base Unit Quantity 0
      HCPCS Code Added Date 1/1/2024
      HCPCS Action Effective Date 1/1/2024
      HCPCS Action Code N - No maintenance for this code

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      This page was last updated on: 7/1/2024