M1223

M1223 — Glaucoma plan of care documented

Q: What is HCPCS code M1223?

M1223 is a HCPCS Level II code for glaucoma plan of care documented. It sits in the Medical Services section.

Q: Does Medicare cover M1223?

The CMS HCPCS file marks M1223 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.

Q: How is M1223 paid under the physician fee schedule?

M1223 carries PFS status code M. Measurement code. Used for reporting purposes only; never paid.

HCPCSActiveBETOS Z2

M1223 is a HCPCS Level II code for glaucoma plan of care documented. 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 M1223

Long descriptor: Glaucoma plan of care documented
Short descriptor: Glaucoma plan of care doc
Added: January 1, 2024
BETOS: Z2
Pricing indicator: 00 — Not priced by Part B

Codes adjacent to M1223

HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If M1223 is not quite right, the correct code is very often within a few positions of it.

M1215Documentation of medical reason(s) for not documenting and reviewing spirometry results (e.g., patients with dementia or tracheostomy)
M1216No spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) documented and/or no spirometry performed with results documented during the encounter
M1217Documentation of system reason(s) for not documenting and reviewing spirometry results (e.g., spirometry equipment not available at the time of the encounter)
M1218Patient has copd symptoms (e.g., dyspnea, cough/sputum, wheezing)
M1219Anaphylaxis due to the vaccine on or before the date of the encounterterminated
M1220Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist or artificial intelligence (ai) interpretation documented and reviewed; with evidence of retinopathy
M1221Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist or artificial intelligence (ai) interpretation documented and reviewed; without evidence of retinopathy
M1222Glaucoma plan of care not documented, reason not otherwise specified
M1224Intraocular pressure (iop) reduced by a value less than 20% from the pre-intervention level
M1225Intraocular pressure (iop) reduced by a value of greater than or equal to 20% from the pre-intervention level
M1226Iop measurement not documented, reason not otherwise specified
M1227Evidence-based therapy was prescribed
M1228Patient, who has a reactive hcv antibody test, and has a follow up hcv viral test that detected hcv viremia, has hcv treatment initiated within 3 months of the reactive hcv antibody test
M1229Patient, who has a reactive hcv antibody test, and has a follow up hcv viral test that detected hcv viremia, is referred within 1 month of the reactive hcv antibody test to a clinician who treats hcv infection
M1230Patient has a reactive hcv antibody test and does not have a follow up hcv viral test, or patient has a reactive hcv antibody test and has a follow up hcv viral test that detects hcv viremia and is not referred to a clinician who treats hcv infection within 1 month and does not have hcv treatment initiated within 3 months of the reactive hcv antibody test, reason not given
M1231Patient receives hcv antibody test with nonreactive result

Questions about M1223

What is HCPCS code M1223?

M1223 is a HCPCS Level II code for glaucoma plan of care documented. It sits in the Medical Services section.

Does Medicare cover M1223?

The CMS HCPCS file marks M1223 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 M1223 paid under the physician fee schedule?

M1223 carries PFS status code M. Measurement code. Used for reporting purposes only; never paid.