M1315

M1315 — Colorectal cancer screening results were not documented and reviewed; reason not otherwise specified

HCPCSActiveBETOS Z2

M1315 is a HCPCS Level II code for colorectal cancer screening results were not documented and reviewed; reason not otherwise specified. 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 M1315

Long descriptor: Colorectal cancer screening results were not documented and reviewed; reason not otherwise specified
Short descriptor: Crc no doc no rsn
Added: January 1, 2024
BETOS: Z2
Pricing indicator: 00 — Not priced by Part B

Codes adjacent to M1315

HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If M1315 is not quite right, the correct code is very often within a few positions of it.

M1307Documentation stating the patient has received or is currently receiving palliative or hospice care
M1308Influenza immunization was not administered, reason not given
M1309Palliative care services provided to patient any time during the measurement period
M1310Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both), if identified as a tobacco user
M1311Anaphylaxis due to the vaccine on or before the date of the encounter
M1312Patient not screened for tobacco use
M1313Tobacco screening not performed or tobacco cessation intervention not provided during the measurement period or in the six months prior to the measurement period
M1314Bmi not documented and no reason is given
M1316Current tobacco non-user
M1317Patients who are counseled on connection with a csp and explicitly opt out
M1318Patients who did not have documented contact with a csp for at least one of their screened positive hrsns within 60 days after screening or documentation that there was no contact with a csp
M1319Patients who had documented contact with a csp for at least one of their screened positive hrsns within 60 days after screening
M1320Patients who screened positive for at least 1 of the 5 hrsns
M1321Patients who were not seen within 7 weeks following the date of injection for follow up or who did not have a documented iop or no plan of care documented if the iop was >25 mm hg
M1322Patients seen within 7 weeks following the date of injection and are screened for elevated intraocular pressure (iop) with tonometry with documented iop =<25 mm hg for injected eye
M1323Patients seen within 7 weeks following the date of injection and are screened for elevated intraocular pressure (iop) with tonometry with documented iop >25 mm hg and a plan of care was documented

Questions about M1315

What is HCPCS code M1315?

M1315 is a HCPCS Level II code for colorectal cancer screening results were not documented and reviewed; reason not otherwise specified. It sits in the Medical Services section.

Does Medicare cover M1315?

The CMS HCPCS file marks M1315 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 M1315 paid under the physician fee schedule?

M1315 carries PFS status code M. Measurement code. Used for reporting purposes only; never paid.