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

Active code Carrier judgment

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
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, 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

Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.