MCMCB Pro
M1106

M1106The start of an episode of care documented in the medical record

HCPCSActiveBETOS Z2

M1106 is a HCPCS Level II code for the start of an episode of care documented in the medical record. 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 M1106

Long descriptor
The start of an episode of care documented in the medical record

The official wording. This is what the code means.

Short descriptor
Start eoc doc med rec

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

Added
January 1, 2020

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 M1106

HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If M1106 is not quite right, the correct code is very often within a few positions of it.

  • 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
  • M1066Shingrix vaccine not documented as administered, reason not giventerminated
  • M1067Hospice services for patient provided any time during the measurement period
  • M1068Adults who are not ambulatory
  • M1069Patient screened for future fall risk
  • M1070Patient not screened for future fall risk, reason not given
  • M1071Patient had any additional spine procedures performed on the same date as the lumbar discectomy/laminotomyterminated
  • M1107Documentation stating patient has a diagnosis of a degenerative neurological condition such as als, ms, or parkinson's diagnosed at any time before or during the episode of care
  • M1108Ongoing care not clinically indicated because the patient needed a home program only, referral to another provider or facility, or consultation only, as documented in the medical record
  • M1109Ongoing care not medically possible because the patient was discharged early due to specific medical events, documented in the medical record, such as the patient became hospitalized or scheduled for surgery
  • M1110Ongoing care not possible because the patient self-discharged early (e.g., financial or insurance reasons, transportation problems, or reason unknown)
  • M1111The start of an episode of care documented in the medical record
  • M1112Documentation stating patient has a diagnosis of a degenerative neurological condition such as als, ms, or parkinson's diagnosed at any time before or during the episode of care
  • M1113Ongoing care not clinically indicated because the patient needed a home program only, referral to another provider or facility, or consultation only, as documented in the medical record
  • M1114Ongoing care not medically possible because the patient was discharged early due to specific medical events, documented in the medical record, such as the patient became hospitalized or scheduled for surgery

Questions about M1106

What is HCPCS code M1106?

M1106 is a HCPCS Level II code for the start of an episode of care documented in the medical record. It sits in the Medical Services section.

Does Medicare cover M1106?

The CMS HCPCS file marks M1106 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 M1106 paid under the physician fee schedule?

M1106 carries PFS status code M. Measurement code. Used for reporting purposes only; never paid.

HCPCS Level II2026Q3-Jul· effective July 1, 2026