M1257 – Cvd risk assessment not performed or incomplete (e.g., cvd risk assessment was not documented), reason not otherwise specified

Long description

Cvd risk assessment not performed or incomplete (e.g., cvd risk assessment was not documented), reason not otherwise specified

Short description

Cvd risk assess 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, 2024 – No change

Nearby M codes

• 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)
• M1252 – Patients who did not complete at least one of the four patient experience hu survey items and return the hu survey within 60 days of the ambulatory palliative care visit
• M1253 – Patients who respond on the patient experience hu survey that they did not receive care by the listed ambulatory palliative care provider in the last 60 days (disavowal)
• M1254 – Patients who were deceased when the hu survey reached them
• M1255 – Patients who have another reason for visiting the clinic [not prenatal or postpartum care] and have a positive pregnancy test but have not established the clinic as an ob provider (e.g., plan to terminate the pregnancy or seek prenatal services elsewhere)
• M1256 – Prior history of known cvd
• M1258 – Cvd risk assessment performed, have a documented calculated risk score
• M1259 – Patient status documented within the first year of initiating dialysis
• M1260 – Patient status not documented within the first year of initiating dialysis
• M1261 – Patients that were on the kidney or kidney-pancreas waitlist prior to initiation of dialysis
• M1262 – Patients who had a transplant prior to initiation of dialysis
• M1263 – Patients in hospice on their initiation of dialysis date or during the month of evaluation
• M1264 – Patients age 75 or older on their initiation of dialysis date
• M1265 – Cms medical evidence form 2728 for dialysis patients: initial form completed