M1213 HCPCS Level II code: No history of spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) and present spirometry is >= 70%
M1213 is the HCPCS code for “No history of spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) and present spirometry is >= 70%” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
M1213No history of spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) and present spirometry is >= 70%
Short description: No hx spiro prs spiro>=70%
HCPCS · United States
Medicare details
The indicators CMS publishes with M1213 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, 2024
Where M1213 sits
- 1M codesMedical services and quality measures
- 2Active code M1213No history of spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) and present spirometry is >= 70%
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 M1213 mean?
M1213 is the HCPCS code for “No history of spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) and present spirometry is >= 70%” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover M1213?
CMS lists M1213’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 M1213
All M codesM1207Patient is screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safetyM1208Patient is not screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safetyM1209At least two orders for high-risk medications from the same drug class, (table 4), without appropriate diagnosesM1210At least two orders for high-risk medications from the same drug class, (table 4), not orderedM1211Most recent glycemic status assessment (hba1c or gmi) level > 9.0%M1212Glycemic status assessment (hba1c or gmi) level is missing, or was not performed during the measurement periodM1214Spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) documented and reviewedM1215Documentation of medical reason(s) for not documenting and reviewing spirometry results (e.g., patients with dementia or tracheostomy)M1216No spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) documented and/or no spirometry performed with results documented during the encounterM1217Documentation of system reason(s) for not documenting and reviewing spirometry results (e.g., spirometry equipment not available at the time of the encounter)M1218Patient has copd symptoms (e.g., dyspnea, cough/sputum, wheezing)M1219Anaphylaxis due to the vaccine on or before the date of the encounter