M1212 – Glycemic status assessment (hba1c or gmi) level is missing, or was not performed during the measurement period

Long description

Glycemic status assessment (hba1c or gmi) level is missing, or was not performed during the measurement period

Short description

Missing gsa not perf

Pricing indicator

00 Not separately priced by Part B (bundled, not covered or Part A only)

Medicare coverage

C Carrier judgment – coverage decided by the Medicare contractor

BETOS category

Z2 Undefined codes

Added

January 1, 2024

Last change

January 1, 2025 – No change

Nearby M codes

• M1204 – Initial (index visit) numeric rating scale (nrs), visual rating scale (vrs), or itchyquant assessment score of greater than or equal to 4
• M1205 – Itch severity assessment score is reduced by 3 or more points from the initial (index) assessment score to the follow-up visit score
• M1206 – Itch severity assessment score was not reduced by at least 3 points from initial (index) score to the follow-up visit score or assessment was not completed during the follow-up encounter
• M1207 – Patient is screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety
• M1208 – Patient is not screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety
• M1209 – At least two orders for high-risk medications from the same drug class, (table 4), without appropriate diagnoses
• M1210 – At least two orders for high-risk medications from the same drug class, (table 4), not ordered
• M1211 – Most recent glycemic status assessment (hba1c or gmi) level > 9.0%
• M1213 – No history of spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) and present spirometry is >= 70%
• M1214 – Spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) documented and reviewed
• M1215 – Documentation of medical reason(s) for not documenting and reviewing spirometry results (e.g., patients with dementia or tracheostomy)
• M1216 – No spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) documented and/or no spirometry performed with results documented during the encounter
• M1217 – Documentation of system reason(s) for not documenting and reviewing spirometry results (e.g., spirometry equipment not available at the time of the encounter)
• M1218 – Patient has copd symptoms (e.g., dyspnea, cough/sputum, wheezing)
• M1219 – Anaphylaxis due to the vaccine on or before the date of the encounter
• M1220 – Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist or artificial intelligence (ai) interpretation documented and reviewed; with evidence of retinopathy