M1242 – Patient did not respond to the question of patient felt this provider and team understood what is important to me in my life
HCPCS Level II code · M codes: Medical Services and Quality Measures
HCPCS codeM1242
- Long description
- Patient did not respond to the question of patient felt this provider and team understood what is important to me in my life
- Short description
- Pt no resp imprt to me
- Pricing indicator
00Not separately priced by Part B (bundled, not covered or Part A only)- Medicare coverage
CCarrier judgment – coverage decided by the Medicare contractor- BETOS category
Z2Undefined codes- Added
- January 1, 2024
- Last change
- January 1, 2024 – No change
Frequently asked questions
What is HCPCS code M1242?
M1242 is a HCPCS Level II code for patient did not respond to the question of patient felt this provider and team understood what is important to me in my life.
Does Medicare cover M1242?
The HCPCS file lists coverage code C: Carrier judgment – coverage decided by the Medicare contractor. Coverage and payment also depend on local coverage determinations and the patient’s plan.
Nearby M codes
- M1234 – Patient has a reactive hcv antibody test, and has a follow up hcv viral test that does not detect hcv viremia
- M1235 – Documentation or patient report of hcv antibody test or hcv rna test which occurred prior to the performance period
- M1236 – Baseline mrs > 2
- M1237 – Patient reason for not screening for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety (e.g., patient declined or other patient reasons)
- M1238 – Documentation that administration of second recombinant zoster vaccine could not occur during the performance period due to the recommended 2-6 month interval between doses (i.e, first dose received after october 31)
- M1239 – Patient did not respond to the question of patient felt heard and understood by this provider and team
- M1240 – Patient did not respond to the question of patient felt this provider and team put my best interests first when making recommendations about my care
- M1241 – Patient did not respond to the question of patient felt this provider and team saw me as a person, not just someone with a medical problem
- M1243 – Patient provided a response other than "completely true" for the question of patient felt heard and understood by this provider and team
- M1244 – Patient provided a response other than "completely true" for the question of patient felt this provider and team put my best interests first when making recommendations about my care
- M1245 – Patient provided a response other than "completely true" for the question of patient felt this provider and team saw me as a person, not just someone with a medical problem
- M1246 – Patient provided a response other than "completely true" for the question of patient felt this provider and team understood what is important to me in my life
- M1247 – Patient responded "completely true" for the question of patient felt this provider and team put my best interests first when making recommendations about my care
- M1248 – Patient responded "completely true" for the question of patient felt this provider and team saw me as a person, not just someone with a medical problem
- M1249 – Patient responded "completely true" for the question of patient felt this provider and team understood what is important to me in my life
- M1250 – Patient responded as "completely true" for the question of patient felt heard and understood by this provider and team
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.