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M1250

M1250Patient responded as "completely true" for the question of patient felt heard and understood by this provider and team

HCPCSActiveBETOS Z2

M1250 is a HCPCS Level II code for patient responded as "completely true" for the question of patient felt heard and understood by this provider and team. 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 M1250

Long descriptor
Patient responded as "completely true" for the question of patient felt heard and understood by this provider and team

The official wording. This is what the code means.

Short descriptor
Pt resp true heard

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

Added
January 1, 2024

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 M1250

HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If M1250 is not quite right, the correct code is very often within a few positions of it.

  • M1242Patient did not respond to the question of patient felt this provider and team understood what is important to me in my life
  • M1243Patient provided a response other than "completely true" for the question of patient felt heard and understood by this provider and team
  • M1244Patient provided a response other than "completely true" for the question of patient felt this provider and team put my best interests first when making recommendations about my care
  • M1245Patient provided a response other than "completely true" for the question of patient felt this provider and team saw me as a person, not just someone with a medical problem
  • M1246Patient provided a response other than "completely true" for the question of patient felt this provider and team understood what is important to me in my life
  • M1247Patient responded "completely true" for the question of patient felt this provider and team put my best interests first when making recommendations about my care
  • M1248Patient responded "completely true" for the question of patient felt this provider and team saw me as a person, not just someone with a medical problem
  • M1249Patient responded "completely true" for the question of patient felt this provider and team understood what is important to me in my life
  • M1251Patients for whom a proxy completed the entire hu survey on their behalf for any reason (no patient involvement)
  • M1252Patients who did not complete at least one of the four patient experience hu survey items and return the hu survey within 60 days of the ambulatory palliative care visit
  • M1253Patients who respond on the patient experience hu survey that they did not receive care by the listed ambulatory palliative care provider in the last 60 days (disavowal)
  • M1254Patients who were deceased when the hu survey reached them
  • M1255Patients who have another reason for visiting the clinic [not prenatal or postpartum care] and have a positive pregnancy test but have not established the clinic as an ob provider (e.g., plan to terminate the pregnancy or seek prenatal services elsewhere)
  • M1256Prior history of known cvd
  • M1257Cvd risk assessment not performed or incomplete (e.g., cvd risk assessment was not documented), reason not otherwise specified
  • M1258Cvd risk assessment performed, have a documented calculated risk score

Questions about M1250

What is HCPCS code M1250?

M1250 is a HCPCS Level II code for patient responded as "completely true" for the question of patient felt heard and understood by this provider and team. It sits in the Medical Services section.

Does Medicare cover M1250?

The CMS HCPCS file marks M1250 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 M1250 paid under the physician fee schedule?

M1250 carries PFS status code M. Measurement code. Used for reporting purposes only; never paid.

HCPCS Level II2026Q3-Jul· effective July 1, 2026