M1427 – Documentation of medical reason(s) for performing a bone scan (including documented pain related to prostate cancer, salvage therapy, other medical reasons)

Long description

Documentation of medical reason(s) for performing a bone scan (including documented pain related to prostate cancer, salvage therapy, other medical reasons)

Short description

Doc med rsn bone scn

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, 2026

Last change

January 1, 2026 – No change

Nearby M codes

• M1419 – Patients who are not up to date on their covid-19 vaccinations as defined by cdc recommendations on current vaccination
• M1420 – Complete ophthalmologic care mips value pathway
• M1421 – Dermatological care mips value pathway
• M1422 – Gastroenterology care mips value pathway
• M1423 – Optimal care for patients with urologic conditions mips value pathway
• M1424 – Pulmonology care mips value pathway
• M1425 – Surgical care mips value pathway
• M1426 – Encounters conducted via telehealth
• M1428 – Patients who have bilateral absence of eyes any time during the patient's history through the end of the measurement period
• M1429 – Retinal exam finding with evidence of retinopathy in left, right or both eyes with severity level documented
• M1430 – Retinal exam finding without evidence of retinopathy in both eyes with severity level documented (in measurement year or in the prior year)
• M1431 – Encounters conducted via telehealth
• M1432 – Encounters conducted via telehealth
• M1433 – Patient on oral chemotherapy on or within 30 days before denominator eligible encounter
• M1434 – Patient on oral chemotherapy on or within 30 days after denominator eligible encounter
• M1435 – Patient on oral chemotherapy during the performance period