M1342

M1342 — Patients who died during the performance period

HCPCSActiveBETOS Z2

M1342 is a HCPCS Level II code for patients who died during the performance period. 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 M1342

Long descriptor: Patients who died during the performance period
Short descriptor: Pts died perf per
Added: January 1, 2024
BETOS: Z2
Pricing indicator: 00 — Not priced by Part B

Codes adjacent to M1342

HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If M1342 is not quite right, the correct code is very often within a few positions of it.

M1334Patients with a post-operative encounter of the eye with the acute pvd within 2 weeks before the initial encounter or 2 weeks after initial acute pvd encounter
M1335Documentation of patient reason(s) for not having a follow up exam (e.g., inadequate time for follow up)
M1336Patients who were appropriately evaluated during the initial exam and were re-evaluated no later than 2 weeks
M1337Acute pvd
M1338Patients who had follow-up assessment 30 to 180 days after the index assessment who did not demonstrate positive improvement or maintenance of functioning scores during the performance period
M1339Patients who had follow-up assessment 30 to 180 days after the index assessment who demonstrated positive improvement or maintenance of functioning scores during the performance period
M1340Index assessment completed using the 12-item whodas 2.0 or sds during the denominator identification period
M1341Patients who did not have a follow-up assessment or did not have an assessment within 30 to 180 days after the index assessment during the performance period
M1343Patients who are at pam level 4 at baseline or patients who are flagged with extreme straight line response sets on the pam or with excessive missing responses
M1344Patients who did not have a baseline pam score and/or a second score within 4 to 12 months of baseline pam score
M1345Patients who had a baseline pam score and a second score within 4 to 12 month of baseline pam score
M1346Patients who did not have a net increase in pam score of at least 6 points within a 4 to 12 month period
M1347Patients who achieved a net increase in pam score of at least 3 points in a 4 to 12 month period (passing)
M1348Patients who achieved a net increase in pam score of at least 6-points in a 4 to 12 month period (excellent)
M1349Patients who did not have a net increase in pam score of at least 3 points within a 4 to 12 month period
M1350Patients who had a completed suicide safety plan initiated, reviewed or updated in collaboration with their clinician (concurrent or within 24 hours) of the index clinical encounter

Questions about M1342

What is HCPCS code M1342?

M1342 is a HCPCS Level II code for patients who died during the performance period. It sits in the Medical Services section.

Does Medicare cover M1342?

The CMS HCPCS file marks M1342 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 M1342 paid under the physician fee schedule?

M1342 carries PFS status code M. Measurement code. Used for reporting purposes only; never paid.