M1278 – Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented

Long description

Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented

Short description

Pre-htn or htn doc, f/u indc

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

• M1270 – Patients not on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement period
• M1271 – Patients with dementia at any time prior to or during the month
• M1272 – Patients observed on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement period
• M1273 – Patients who were admitted to a skilled nursing facility (snf) within one year of dialysis initiation according to the cms-2728 form
• M1274 – Patients who were admitted to a skilled nursing facility (snf) during the month of evaluation were excluded from that month
• M1275 – Patients determined to be in hospice were excluded from month of evaluation and the remainder of reporting period
• M1276 – Bmi documented outside normal parameters, no follow-up plan documented, no reason given
• M1277 – Colorectal cancer screening results documented and reviewed
• M1279 – Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given
• M1280 – Women who had a bilateral mastectomy or who have a history of a bilateral mastectomy or for whom there is evidence of a right and a left unilateral mastectomy
• M1281 – Blood pressure reading not documented, reason not given
• M1282 – Patient screened for tobacco use and identified as a tobacco non-user
• M1283 – Patient screened for tobacco use and identified as a tobacco user
• M1284 – Patients age 66 or older in institutional special needs plans (snp) or residing in long term care with pos code 32, 33, 34, 54, or 56 for more than 90 consecutive days during the measurement period
• M1285 – Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified
• M1286 – Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason