M1153

M1153 — Patient with diagnosis of osteoporosis on date of encounter

HCPCSActiveBETOS Z2

M1153 is a HCPCS Level II code for patient with diagnosis of osteoporosis on date of encounter. It belongs to the Medical Services section. Whether Medicare pays it depends on the coverage rule below.

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.

Physician fee schedule statusM

Measurement code. Used for reporting purposes only; never paid.

Global period: XXX

Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.

The CMS record for M1153

Long descriptor: Patient with diagnosis of osteoporosis on date of encounter
Short descriptor: Pt w/ dx osteo doe
Added: January 1, 2023
BETOS: Z2
Pricing indicator: 00 — Not priced by Part B

Codes adjacent to M1153

HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If M1153 is not quite right, the correct code is very often within a few positions of it.

M1145Most favored nation (mfn) model drug add-on amount, per dose, (do not bill with line items that have the jw modifier)terminated
M1146Ongoing care not clinically indicated because the patient needed a home program only, referral to another provider or facility, or consultation only, as documented in the medical record
M1147Ongoing care not medically possible because the patient was discharged early due to specific medical events, documented in the medical record, such as the patient became hospitalized or scheduled for surgery
M1148Ongoing care not possible because the patient self-discharged early (e.g., financial or insurance reasons, transportation problems, or reason unknown)
M1149Patient unable to complete the neck fs prom at initial evaluation and/or discharge due to blindness, illiteracy, severe mental incapacity or language incompatibility, and an adequate proxy is not available
M1150Current or prior left ventricular ejection fraction (lvef) less than or equal to 40% or documentation of moderately or severely depressed left ventricular systolic function
M1151Patients with a history of heart transplant or with a left ventricular assist device (lvad)
M1152Patients with a history of heart transplant or with a left ventricular assist device (lvad)
M1154Hospice services provided to patient any time during the measurement periodterminated
M1155Patient had anaphylaxis due to the pneumococcal vaccine any time during or before the measurement periodterminated
M1156Patient received active chemotherapy any time during the measurement periodterminated
M1157Patient received bone marrow transplant any time during the measurement periodterminated
M1158Patient had history of immunocompromising conditions prior to or during the measurement periodterminated
M1159Hospice services provided to patient any time during the measurement period
M1160Patient had anaphylaxis due to the meningococcal vaccine any time on or before the patient's 13th birthday
M1161Patient had anaphylaxis due to the tetanus, diphtheria or pertussis vaccine any time on or before the patient's 13th birthday

Questions about M1153

What is HCPCS code M1153?

M1153 is a HCPCS Level II code for patient with diagnosis of osteoporosis on date of encounter. It sits in the Medical Services section.

Does Medicare cover M1153?

The CMS HCPCS file marks M1153 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.

How is M1153 paid under the physician fee schedule?

M1153 carries PFS status code M. Measurement code. Used for reporting purposes only; never paid.