M1021 HCPCS Level II code: Patient had only urgent care visits during the performance period
M1021 is the HCPCS code for “Patient had only urgent care visits during the performance period” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
M1021Patient had only urgent care visits during the performance period
Short description: Pt uc in pp
HCPCS · United States
Medicare details
The indicators CMS publishes with M1021 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
Where M1021 sits
- 1M codesMedical services and quality measures
- 2Active code M1021Patient had only urgent care visits during the performance period
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
What does HCPCS code M1021 mean?
M1021 is the HCPCS code for “Patient had only urgent care visits during the performance period” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover M1021?
CMS lists M1021’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 M1021
All M codesM1015Discharge/discontinuation of the episode of care documented in the medical recordM1016Female patients unable to bear childrenM1017Patient admitted to palliative care servicesM1018Patients with an active diagnosis or history of cancer (except basal cell and squamous cell skin carcinoma), patients who are heavy tobacco smokers, lung cancer screening patientsM1019Adolescent patients 12 to 17 years of age with major depression or dysthymia who reached remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or phq-9m…M1020Adolescent patients 12 to 17 years of age with major depression or dysthymia who did not reach remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or…M1022Patients who were in hospice at any time during the performance periodM1023Adolescent patients 12 to 17 years of age with major depression or dysthymia who reached remission at six months as demonstrated by a six month (+/-60 days) phq-9 or phq-9m score…M1024Adolescent patients 12 to 17 years of age with major depression or dysthymia who did not reach remission at six months as demonstrated by a six month (+/-60 days) phq-9 or phq-9m…M1025Patients who were in hospice at any time during the performance periodM1026Patients who were in hospice at any time during the performance periodM1027Imaging of the head (ct or mri) was obtained