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M1057

M1057Aspirin or another antiplatelet therapy not used, reason not given

HCPCSActiveBETOS Z2

M1057 is a HCPCS Level II code for aspirin or another antiplatelet therapy not used, reason not given. 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 M1057

Long descriptor
Aspirin or another antiplatelet therapy not used, reason not given

The official wording. This is what the code means.

Short descriptor
Aspirin not used, no rsn

CMS's 28-character form, which is what shows up on a remittance advice.

Added
January 1, 2019

When CMS introduced the code.

BETOS
Z2

Berenson-Eggers Type of Service — CMS's own analytic grouping.

Pricing indicator
00 — Not priced by Part B

Service not separately priced by Part B — not covered, bundled into another service, or used by Part A only.

Codes adjacent to M1057

HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If M1057 is not quite right, the correct code is very often within a few positions of it.

  • M1049Functional status was not measured by the oswestry disability index (odi version 2.1a) at three months (6 - 20 weeks) postoperatively
  • M1050Functional status was measured by the oswestry disability index (odi version 2.1a) patient reported outcome tool within three months preoperatively and at three months (6 to 20 weeks) postoperativelyterminated
  • M1051Patient had cancer, acute fracture or infection related to the lumbar spine or patient had neuromuscular, idiopathic or congenital lumbar scoliosis
  • M1052Leg pain was not measured by the visual analog scale (vas) or numeric pain scale at one year (9 to 15 months) postoperatively
  • M1053Leg pain was measured by the visual analog scale (vas) within three months preoperatively and at one year (9 to 15 months) postoperativelyterminated
  • M1054Patient had only urgent care visits during the performance period
  • M1055Aspirin or another antiplatelet therapy used
  • M1056Prescribed anticoagulant medication during the performance period, history of gi bleeding, history of intracranial bleeding, bleeding disorder and specific provider documented reasons: allergy to aspirin or anti-platelets, use of non-steroidal anti-inflammatory agents, drug-drug interaction, uncontrolled hypertension > 180/110 mmhg or gastroesophageal reflux disease
  • M1058Patient was a permanent nursing home resident at any time during the performance period
  • M1059Patient was in hospice or receiving palliative care at any time during the performance period
  • M1060Patient died prior to the end of the performance period
  • M1061Patient pregnancyterminated
  • M1062Patient immunocompromisedterminated
  • M1063Patients receiving high doses of immunosuppressive therapyterminated
  • M1064Shingrix vaccine documented as administered or previously receivedterminated
  • M1065Shingrix vaccine was not administered for reasons documented by clinician (e.g. patient administered vaccine other than shingrix, patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons)terminated

Questions about M1057

What is HCPCS code M1057?

M1057 is a HCPCS Level II code for aspirin or another antiplatelet therapy not used, reason not given. It sits in the Medical Services section.

Does Medicare cover M1057?

The CMS HCPCS file marks M1057 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 M1057 paid under the physician fee schedule?

M1057 carries PFS status code M. Measurement code. Used for reporting purposes only; never paid.

HCPCS Level II2026Q3-Jul· effective July 1, 2026