M1283

M1283 — Patient screened for tobacco use and identified as a tobacco user

HCPCSActiveBETOS Z2

M1283 is a HCPCS Level II code for patient screened for tobacco use and identified as a tobacco user. 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 M1283

Long descriptor: Patient screened for tobacco use and identified as a tobacco user
Short descriptor: Pt scrn tbco and id as user
Added: January 1, 2024
BETOS: Z2
Pricing indicator: 00 — Not priced by Part B

Codes adjacent to M1283

HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If M1283 is not quite right, the correct code is very often within a few positions of it.

M1275Patients determined to be in hospice were excluded from month of evaluation and the remainder of reporting period
M1276Bmi documented outside normal parameters, no follow-up plan documented, no reason given
M1277Colorectal cancer screening results documented and reviewed
M1278Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented
M1279Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given
M1280Women who had a bilateral mastectomy or who have a history of a bilateral mastectomy or for whom there is evidence of a right and a left unilateral mastectomy
M1281Blood pressure reading not documented, reason not given
M1282Patient screened for tobacco use and identified as a tobacco non-user
M1284Patients age 66 or older in institutional special needs plans (snp) or residing in long term care with pos code 32, 33, 34, 54, or 56 for more than 90 consecutive days during the measurement period
M1285Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified
M1286Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason
M1287Bmi is documented below normal parameters and a follow-up plan is documented
M1288Documented reason for not screening or recommending a follow-up for high blood pressure
M1289Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy)
M1290Patient not eligible due to active diagnosis of hypertension
M1291Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period

Questions about M1283

What is HCPCS code M1283?

M1283 is a HCPCS Level II code for patient screened for tobacco use and identified as a tobacco user. It sits in the Medical Services section.

Does Medicare cover M1283?

The CMS HCPCS file marks M1283 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 M1283 paid under the physician fee schedule?

M1283 carries PFS status code M. Measurement code. Used for reporting purposes only; never paid.