M1451 – Patients with an active diagnosis of pervasive developmental disorder any time prior to the end of the measure assessment period

HCPCS Level II code · M codes: Medical Services and Quality Measures

Active code Carrier judgment

HCPCS codeM1451
Long description
Patients with an active diagnosis of pervasive developmental disorder any time prior to the end of the measure assessment period
Short description
Pt dx ppd dur id/pf pd
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

Frequently asked questions

What is HCPCS code M1451?

M1451 is a HCPCS Level II code for patients with an active diagnosis of pervasive developmental disorder any time prior to the end of the measure assessment period.

Does Medicare cover M1451?

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

Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.