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

Long description

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

Short description

Bilat mast/hx bi /unilat mas

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

• 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
• M1278 – Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented
• M1279 – Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given
• 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
• M1287 – Bmi is documented below normal parameters and a follow-up plan is documented
• M1288 – Documented reason for not screening or recommending a follow-up for high blood pressure