M1355 – Suicide risk based on their clinician's evaluation or a clinician-rated tool
HCPCS Level II code · M codes: Medical Services and Quality Measures
HCPCS codeM1355
- Long description
- Suicide risk based on their clinician's evaluation or a clinician-rated tool
- Short description
- Suicd based cln eval
- Pricing indicator
00Not separately priced by Part B (bundled, not covered or Part A only)- Medicare coverage
CCarrier judgment – coverage decided by the Medicare contractor- BETOS category
Z2Undefined codes- Added
- January 1, 2024
- Last change
- January 1, 2024 – No change
Frequently asked questions
What is HCPCS code M1355?
M1355 is a HCPCS Level II code for suicide risk based on their clinician's evaluation or a clinician-rated tool.
Does Medicare cover M1355?
The HCPCS file lists coverage code C: Carrier judgment – coverage decided by the Medicare contractor. Coverage and payment also depend on local coverage determinations and the patient’s plan.
Nearby M codes
- M1347 – Patients who achieved a net increase in pam score of at least 3 points in a 4 to 12 month period (passing)
- M1348 – Patients who achieved a net increase in pam score of at least 6-points in a 4 to 12 month period (excellent)
- M1349 – Patients who did not have a net increase in pam score of at least 3 points within a 4 to 12 month period
- M1350 – Patients who had a completed suicide safety plan initiated, reviewed or updated in collaboration with their clinician (concurrent or within 24 hours) of the index clinical encounter
- M1351 – Patients who had a suicide safety plan initiated, reviewed, or updated and reviewed and updated in collaboration with the patient and their clinician concurrent or within 24 hours of clinical encounter and within 120 days after initiation
- M1352 – Suicidal ideation and/or behavior symptoms based on the c-ssrs or equivalent assessment
- M1353 – Patients who did not have a completed suicide safety plan initiated, reviewed or updated in collaboration with their clinician (concurrent or within 24 hours) of the index clinical encounter
- M1354 – Patients who did not have a suicide safety plan initiated, reviewed, or updated or reviewed and updated in collaboration with the patient and their clinician concurrent or within 24 hours of clinical encounter and within 120 days after initiation
- M1356 – Patients who died during the measurement period
- M1357 – Patients who had a reduction in suicidal ideation and/or behavior upon follow-up assessment within 120 days of index assessment
- M1358 – Patients who did not have a reduction in suicidal ideation and/or behavior upon follow-up assessment within 120 days of index assessment
- M1359 – Index assessment during the denominator period when the suicidal ideation and/or behavior symptoms or increased suicide risk by clinician determination occurs and a non-zero c-ssrs score is obtained
- M1360 – Suicidal ideation and/or behavior symptoms based on the c-ssrs
- M1361 – Suicide risk based on their clinician's evaluation or a clinician-rated tool
- M1362 – Patients who died during the measurement period
- M1363 – Patients who did not have a follow-up assessment within 120 days of the index assessment
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.