M1297 – Bmi not documented due to medical reason or patient refusal of height or weight measurement

Long description

Bmi not documented due to medical reason or patient refusal of height or weight measurement

Short description

Bmi not doc medrsn ptref

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

• 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
• M1296 – Bmi is documented within normal parameters and no follow-up plan is required
• 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
• M1305 – Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period