M1296 – Bmi is documented within normal parameters and no follow-up plan is required

Long description

Bmi is documented within normal parameters and no follow-up plan is required

Short description

Calc bmi norm parameters

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

• M1288 – Documented reason for not screening or recommending a follow-up for high blood pressure
• M1289 – Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy)
• M1290 – Patient not eligible due to active diagnosis of hypertension
• M1291 – Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period
• M1292 – Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and an advanced illness diagnosis during the measurement period or the year prior to the measurement period
• M1293 – Bmi is documented above normal parameters and a follow-up plan is documented
• M1294 – Normal blood pressure reading documented, follow-up not required
• M1295 – Patients with a diagnosis or past history of total colectomy or colorectal cancer
• M1297 – Bmi not documented due to medical reason or patient refusal of height or weight measurement
• M1298 – Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter
• M1299 – Influenza immunization administered or previously received
• M1300 – Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons)
• M1301 – Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy)
• M1302 – Screening, diagnostic, film digital or digital breast tomosynthesis (3d) mammography results documented and reviewed
• M1303 – Hospice services provided to patient any time during the measurement period
• M1304 – Patient did not receive any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period