M1023 — Adolescent patients 12 to 17 years of age with major depression or dysthymia who reached remission at six months as demonstrated by a six month (+/-60 days) phq-9 or phq-9m score of less than five
M1023 is a HCPCS Level II code for adolescent patients 12 to 17 years of age with major depression or dysthymia who reached remission at six months as demonstrated by a six month (+/-60 days) phq-9 or phq-9m score of less than five. It belongs to the Medical Services section. It was terminated on December 31, 2020 and is not valid on new claims.
This code has been terminated
CMS terminated M1023 on December 31, 2020. It stays in the file as history — a claim you are auditing from before that date may legitimately carry it — but it must not appear on a new claim. The adjacent codes below are the usual place to look for its replacement.
Medicare coverage: Carrier judgment
Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
The CMS record for M1023
- Long descriptor
- Adolescent patients 12 to 17 years of age with major depression or dysthymia who reached remission at six months as demonstrated by a six month (+/-60 days) phq-9 or phq-9m score of less than five
- Short descriptor
- Adl pt mj dep ds rs 6 phq<5
- Added
- January 1, 2019
- Terminated
- December 31, 2020
- BETOS
- Z2
- Pricing indicator
- 00 — Not priced by Part B
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
When CMS retired it.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Service not separately priced by Part B — not covered, bundled into another service, or used by Part A only.
Codes adjacent to M1023
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If M1023 is not quite right, the correct code is very often within a few positions of it.
- M1015Discharge/discontinuation of the episode of care documented in the medical recordterminated
- M1016Female patients unable to bear children
- M1017Patient admitted to palliative care servicesterminated
- M1018Patients with an active diagnosis or history of cancer (except basal cell and squamous cell skin carcinoma), patients who are heavy tobacco smokers, lung cancer screening patients
- M1019Adolescent patients 12 to 17 years of age with major depression or dysthymia who reached remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or phq-9m score of less than 5
- M1020Adolescent patients 12 to 17 years of age with major depression or dysthymia who did not reach remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or phq-9m score of less than 5. either phq-9 or phq-9m score was not assessed or is greater than or equal to 5
- M1021Patient had only urgent care visits during the performance period
- M1022Patients who were in hospice at any time during the performance periodterminated
- M1024Adolescent patients 12 to 17 years of age with major depression or dysthymia who did not reach remission at six months as demonstrated by a six month (+/-60 days) phq-9 or phq-9m score of less than five. either phq-9 or phq-9m score was not assessed or is greater than or equal to fiveterminated
- M1025Patients who were in hospice at any time during the performance periodterminated
- M1026Patients who were in hospice at any time during the performance periodterminated
- M1027Imaging of the head (ct or mri) was obtained
- M1028Documentation of patients with primary headache diagnosis and imaging other than ct or mri obtained
- M1029Imaging of the head (ct or mri) was not obtained, reason not given
- M1030Patients with clinical indications for imaging of the headterminated
- M1031Patients with no clinical indications for imaging of the headterminated
Questions about M1023
What is HCPCS code M1023?
M1023 is a HCPCS Level II code for adolescent patients 12 to 17 years of age with major depression or dysthymia who reached remission at six months as demonstrated by a six month (+/-60 days) phq-9 or phq-9m score of less than five. It sits in the Medical Services section.
Does Medicare cover M1023?
The CMS HCPCS file marks M1023 as "Carrier judgment". Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
Is M1023 still valid?
No. M1023 was terminated on December 31, 2020 and should not be used on new claims.