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Records a patient encounter with a hospice and palliative care provider (specialty code 17) during a performance period.
2025 HCPCS code M1354
This code tracks the absence of a suicide safety plan initiation, review, or update within specific timeframes of a clinical encounter.
2025 HCPCS code M1246
Patient did not report "completely true" to the question, "Patient felt this provider and team understood what is important to me in my life."
2025 HCPCS code M1150
Left ventricular ejection fraction (LVEF) less than or equal to 40% or moderately/severely depressed left ventricular systolic function.
2025 HCPCS code M1151
This code identifies patients with a history of heart transplant or with a left ventricular assist device (LVAD).
2025 HCPCS code M1260
Patient not listed on kidney-pancreas transplant waitlist and did not receive a living donor transplant within one year of starting dialysis.
2025 HCPCS code M1163
Patient had anaphylaxis due to the HPV vaccine on or before the patient's 13th birthday. This is a tracking code for performance measurement.
2025 HCPCS code M1165
Patient received hospice care during the measurement period.
2025 HCPCS code M1178
Documentation of medical reason(s) for not administering pneumococcal vaccine (e.g., prior anaphylaxis due to the pneumococcal vaccine). This is a tracking code for performance measurement.
2025 HCPCS code M1182
Patient is not eligible due to pre-existing inflammatory bowel disease (IBD).
2025 HCPCS code M1256
Prior history of known CVD.
2025 HCPCS code 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.
2025 HCPCS code M1230
Patient with reactive HCV antibody test without follow-up viral test, or with follow-up test detecting viremia but no referral or treatment initiated within specified timeframes, reason not given.
2025 HCPCS code M1261
Documents that the patient was on the kidney or kidney-pancreas transplant waitlist before starting dialysis.
2025 HCPCS code M1282
Patient screened for tobacco use and identified as a tobacco non-user.
2025 HCPCS code M1257
CVD risk assessment not performed or incomplete, reason not otherwise specified.
2025 HCPCS code M1281
Blood pressure reading not documented, reason not given.
2025 HCPCS code M1317
Patient counseled on connection with a community service provider (CSP) and opted out.
2025 HCPCS code M1258
CVD risk assessment performed with a documented calculated risk score.
2025 HCPCS code M1328
Supplemental tracking code for patients diagnosed with acute vitreous hemorrhage.
2025 HCPCS code M1332
Supplemental tracking code indicating a patient was not appropriately evaluated during the initial exam or re-evaluated within two weeks.
2025 HCPCS code M1340
Index assessment completed using the 12-item WHODAS 2.0 or SDS during the denominator identification period.
2025 HCPCS code M1213
No history of spirometry results with confirmed airflow obstruction (FEV1/FVC < 70%) and present spirometry is ≥ 70%
2025 HCPCS code M1233
Documentation shows that the patient did not receive a hepatitis C virus (HCV) antibody test or, if the test was administered, the results are not documented and no reason was provided.
2025 HCPCS code M1248
Patient responded "completely true" to the question of whether they felt the provider and team saw them as a person, not just someone with a medical problem.
2025 HCPCS code M1322
Screening for elevated intraocular pressure (IOP) with tonometry, IOP ≤25 mm Hg, within 7 weeks of injection.
2025 HCPCS code M1250
Patient responded "completely true" to the question of feeling heard and understood by the provider and team.
2025 HCPCS code M1222
Glaucoma plan of care not documented, reason not otherwise specified.
2025 HCPCS code M1294
Documentation of a normal blood pressure reading where follow-up is not required.
2025 HCPCS code M1360
Documents suicidal ideation and/or behavior symptoms assessed using the Columbia-Suicide Severity Rating Scale (C-SSRS).
2025 HCPCS code M1189
Documentation of a kidney health evaluation using estimated glomerular filtration rate (eGFR) and urine albumin-creatinine ratio (UACR).
2025 HCPCS code M1329
Supplemental tracking code for post-operative eye encounters with acute posterior vitreous detachment (PVD) within 2 weeks before or 8 weeks after the initial acute PVD encounter.
2025 HCPCS code M1228
Tracking code for patients with a reactive HCV antibody test, followed by a confirmatory HCV viral test showing viremia, and HCV treatment initiated within three months.
2025 HCPCS code M1265
Completion of CMS-2728 medical evidence form for dialysis patients (initial form).
2025 HCPCS code M1369
Indicates provider participation in the Mental Health and Substance Use Disorder MIPS Value Pathways (MVP) program.
2025 HCPCS code M1323
Follow-up screening for elevated intraocular pressure (IOP) >25 mmHg within 7 weeks of injection, with documented plan of care.
2025 HCPCS code M1241
Patient did not respond to a question about their perception of the provider's approach to care.
2025 HCPCS code M1268
Patient actively on kidney or kidney-pancreas transplant waitlist at month's end.
2025 HCPCS code M1270
Indicates the patient was not on a kidney or kidney-pancreas transplant waitlist on the last day of each month within a specified period.
2025 HCPCS code M1247
Patient reported complete agreement that their provider prioritized their best interests when making care recommendations.
2025 HCPCS code M1345
Tracks baseline and follow-up Patient Activation Measure (PAM) scores taken 6-12 months apart.
2025 HCPCS code M1299
Indicates that an influenza immunization was administered to the patient or that the patient had previously received the immunization.
2025 HCPCS code M1348
HCPCS code M1348 tracks a patient's improvement in their Patient Activation Measure (PAM) score by at least six points over six to twelve months.
2025 HCPCS code M1202
Documentation of reasons for not prescribing ACE inhibitors or ARBs during a specific measurement period.
2025 HCPCS code M1173
Patient did not receive at least one Td or Tdap vaccine within nine years prior to the encounter.
2025 HCPCS code M1198
Indicates that an itch severity assessment score was not reduced by at least 3 points from the initial to follow-up visit, or the assessment was incomplete.
2025 HCPCS code M1181
Tracking code for grade 2 or higher diarrhea and/or colitis; used for performance measurement.
2025 HCPCS code M1234
Follow-up HCV viral test with negative result after reactive HCV antibody test.
2025 HCPCS code M1325
HCPCS code M1325 represents instances where a clinician did not see a patient due to documented patient or medical reasons.
2025 HCPCS code M1321
Supplemental tracking code indicating a patient was not seen for follow-up within 7 weeks of injection, or lacked documented intraocular pressure (IOP) or plan of care if IOP > 25 mmHg.
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