M1245 — Patient provided a response other than "completely true" for the question of patient felt this provider and team saw me as a person, not just someone with a medical problem
M1245 is a HCPCS Level II code for patient provided a response other than "completely true" for the question of patient felt this provider and team saw me as a person, not just someone with a medical problem. 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 M1245
- Long descriptor
- Patient provided a response other than "completely true" for the question of patient felt this provider and team saw me as a person, not just someone with a medical problem
- Short descriptor
- Pt othr thn true person
- Added
- January 1, 2024
- 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.
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 M1245
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If M1245 is not quite right, the correct code is very often within a few positions of it.
- M1237Patient reason for not screening for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety (e.g., patient declined or other patient reasons)
- M1238Documentation that administration of second recombinant zoster vaccine could not occur during the performance period due to the recommended 2-6 month interval between doses (i.e, first dose received after october 31)
- M1239Patient did not respond to the question of patient felt heard and understood by this provider and team
- M1240Patient did not respond to the question of patient felt this provider and team put my best interests first when making recommendations about my care
- M1241Patient did not respond to the question of patient felt this provider and team saw me as a person, not just someone with a medical problem
- M1242Patient did not respond to the question of patient felt this provider and team understood what is important to me in my life
- M1243Patient provided a response other than "completely true" for the question of patient felt heard and understood by this provider and team
- M1244Patient provided a response other than "completely true" for the question of patient felt this provider and team put my best interests first when making recommendations about my care
- M1246Patient provided a response other than "completely true" for the question of patient felt this provider and team understood what is important to me in my life
- M1247Patient responded "completely true" for the question of patient felt this provider and team put my best interests first when making recommendations about my care
- M1248Patient responded "completely true" for the question of patient felt this provider and team saw me as a person, not just someone with a medical problem
- M1249Patient responded "completely true" for the question of patient felt this provider and team understood what is important to me in my life
- M1250Patient responded as "completely true" for the question of patient felt heard and understood by this provider and team
- M1251Patients for whom a proxy completed the entire hu survey on their behalf for any reason (no patient involvement)
- M1252Patients who did not complete at least one of the four patient experience hu survey items and return the hu survey within 60 days of the ambulatory palliative care visit
- M1253Patients who respond on the patient experience hu survey that they did not receive care by the listed ambulatory palliative care provider in the last 60 days (disavowal)
Questions about M1245
What is HCPCS code M1245?
M1245 is a HCPCS Level II code for patient provided a response other than "completely true" for the question of patient felt this provider and team saw me as a person, not just someone with a medical problem. It sits in the Medical Services section.
Does Medicare cover M1245?
The CMS HCPCS file marks M1245 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 M1245 paid under the physician fee schedule?
M1245 carries PFS status code M. Measurement code. Used for reporting purposes only; never paid.