M1316

M1316 — Current tobacco non-user

HCPCSActiveBETOS Z2

M1316 is a HCPCS Level II code for current tobacco non-user. 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 M1316

Long descriptor: Current tobacco non-user
Short descriptor: Tobacco non-user
Added: January 1, 2024
BETOS: Z2
Pricing indicator: 00 — Not priced by Part B

Codes adjacent to M1316

HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If M1316 is not quite right, the correct code is very often within a few positions of it.

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
M1315Colorectal cancer screening results were not documented and reviewed; reason not otherwise specified
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
M1324Patients who had an intravitreal or periocular corticosteroid injection (e.g., triamcinolone, preservative-free triamcinolone, dexamethasone, dexamethasone intravitreal implant, or fluocinolone intravitreal implant)

Questions about M1316

What is HCPCS code M1316?

M1316 is a HCPCS Level II code for current tobacco non-user. It sits in the Medical Services section.

Does Medicare cover M1316?

The CMS HCPCS file marks M1316 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 M1316 paid under the physician fee schedule?

M1316 carries PFS status code M. Measurement code. Used for reporting purposes only; never paid.