M1457 – Patient had a diagnosis of asthma with any contact during the current or prior performance period or had asthma present on an active problem list any time during the performance period
HCPCS Level II code · M codes: Medical Services and Quality Measures
HCPCS codeM1457
- Long description
- Patient had a diagnosis of asthma with any contact during the current or prior performance period or had asthma present on an active problem list any time during the performance period
- Short description
- Dx asth dur crnt/prv perf pd
- 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, 2026
- Last change
- January 1, 2026 – No change
Frequently asked questions
What is HCPCS code M1457?
M1457 is a HCPCS Level II code for patient had a diagnosis of asthma with any contact during the current or prior performance period or had asthma present on an active problem list any time during the performance period.
Does Medicare cover M1457?
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
- M1449 – Patients with an active diagnosis of schizophrenia or psychotic disorder any time prior to the end of the measure assessment period
- M1450 – Patients who received hospice or palliative care service any time during denominator identification period or the measure assessment period
- M1451 – Patients with an active diagnosis of pervasive developmental disorder any time prior to the end of the measure assessment period
- M1452 – Patient ever had a diagnosis of dementia
- M1453 – Patients with a pre-operative visual acuity better than 20/40
- M1454 – New cied
- M1455 – Replaced or revised cied
- M1456 – Patient had a heart transplant
- M1458 – Patient died prior to the end of the performance period
- M1459 – Patient was in hospice or receiving palliative care services at any time during the performance period
- M1460 – Diagnosis for chronic obstructive pulmonary disease, emphysema, cystic fibrosis, or acute respiratory failure
- M1461 – Patient diagnosis for chronic hepatitis c
- M1462 – Patients with clinical indications for imaging of the head
- M1463 – Documentation of at least two attempts to follow up with patient within 180 days of treatment
- M1464 – No documentation of at least two attempts to follow up with patient within 180 days of treatment
- M1465 – Patient follow up more than 180 days after treatment
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.