M1001 HCPCS Level II code: Plan of care to address moderate to severe pain documented on or before the date of the second visit with a clinician
CMS terminated M1001: its last date of service was Dec 31, 2019. It stays here for looking up older claims; newer services need a current code.
Official description
M1001Plan of care to address moderate to severe pain documented on or before the date of the second visit with a clinician
Short description: Pln to adrs pain doc
HCPCS · United States
Medicare details
The indicators CMS publishes with M1001 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Carrier judgment
- Medicare pricing
- Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)
- Type of service
- Medical care
- BETOS category
- Undefined codes
- Added
- Jan 1, 2019
- Terminated after
- Dec 31, 2019
Where M1001 sits
- 1M codesMedical services and quality measures
- 2Terminated M1001Plan of care to address moderate to severe pain documented on or before the date of the second visit with a clinician
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
Is HCPCS code M1001 still valid?
No. CMS terminated M1001; its last date of service was Dec 31, 2019. It is listed for looking up services from before then. Use a current code for newer services.
Does Medicare cover M1001?
CMS lists M1001’s Medicare coverage as “Carrier judgment” and its pricing as “Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside M1001
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