M1449 — Patients with an active diagnosis of schizophrenia or psychotic disorder any time prior to the end of the measure assessment period
M1449 is a HCPCS Level II code for patients with an active diagnosis of schizophrenia or psychotic disorder any time prior to the end of the measure assessment 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
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The CMS record for M1449
- Long descriptor
- Patients with an active diagnosis of schizophrenia or psychotic disorder any time prior to the end of the measure assessment period
- Short descriptor
- Pt dx scz/pys bef end msr pd
- Added
- January 1, 2026
- 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 M1449
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If M1449 is not quite right, the correct code is very often within a few positions of it.
- M1441Encounter corresponds to initial diagnosis of sleep apnea or first contact with sleep apnea diagnosed patient
- M1442Encounters conducted via telehealth
- M1443Encounters conducted via telehealth
- M1444Delivery at < 39 weeks of gestation
- M1445Postpartum care visit before or at 12 weeks of giving birth
- M1446Patients who died any time prior to the end of the measure assessment period
- M1447Patients with an active diagnosis of bipolar disorder any time prior to the end of the measure assessment period
- M1448Patients with an active diagnosis of personality disorder any time prior to the end of the measure assessment period
- M1450Patients who received hospice or palliative care service any time during denominator identification period or the measure assessment period
- M1451Patients with an active diagnosis of pervasive developmental disorder any time prior to the end of the measure assessment period
- M1452Patient ever had a diagnosis of dementia
- M1453Patients with a pre-operative visual acuity better than 20/40
- M1454New cied
- M1455Replaced or revised cied
- M1456Patient had a heart transplant
- M1457Patient had a diagnosis of asthma with any contact during the current or prior performance period or had asthma present on an active problem list any time during the performance period
Questions about M1449
What is HCPCS code M1449?
M1449 is a HCPCS Level II code for patients with an active diagnosis of schizophrenia or psychotic disorder any time prior to the end of the measure assessment period. It sits in the Medical Services section.
Does Medicare cover M1449?
The CMS HCPCS file marks M1449 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 M1449 paid under the physician fee schedule?
M1449 carries PFS status code M. Measurement code. Used for reporting purposes only; never paid.