M1028 HCPCS Level II code: Documentation of patients with primary headache diagnosis and imaging other than ct or mri obtained
M1028 is the HCPCS code for “Documentation of patients with primary headache diagnosis and imaging other than ct or mri obtained” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
M1028Documentation of patients with primary headache diagnosis and imaging other than ct or mri obtained
Short description: Doc of pt prm hda dx and otr
HCPCS · United States
Medicare details
The indicators CMS publishes with M1028 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 M1028 sits
- 1M codesMedical services and quality measures
- 2Active code M1028Documentation of patients with primary headache diagnosis and imaging other than ct or mri obtained
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 M1028 mean?
M1028 is the HCPCS code for “Documentation of patients with primary headache diagnosis and imaging other than ct or mri obtained” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover M1028?
CMS lists M1028’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 M1028
All M codesM1022Patients 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 obtainedM1029Imaging of the head (ct or mri) was not obtained, reason not givenM1030Patients with clinical indications for imaging of the headM1031Patients with no clinical indications for imaging of the headM1032Adults currently taking pharmacotherapy for oudM1033Pharmacotherapy for oud initiated after june 30th of performance periodM1034Adults who have at least 180 days of continuous pharmacotherapy with a medication prescribed for oud without a gap of more than seven days