M1243 – Patient provided a response other than "completely true" for the question of patient felt heard and understood by this provider and team
HCPCS Level II code · M codes: Medical Services and Quality Measures
HCPCS codeM1243
- Long description
- Patient provided a response other than "completely true" for the question of patient felt heard and understood by this provider and team
- Short description
- Pt othr thn true heard
- 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 M1243?
M1243 is a HCPCS Level II code for patient provided a response other than "completely true" for the question of patient felt heard and understood by this provider and team.
Does Medicare cover M1243?
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
- 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
- M1242 – Patient did not respond to the question of patient felt this provider and team understood what is important to me in my life
- 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
- M1251 – Patients for whom a proxy completed the entire hu survey on their behalf for any reason (no patient involvement)
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.