M1215 HCPCS Level II code: Documentation of medical reason(s) for not documenting and reviewing spirometry results (e.g., patients with dementia or tracheostomy)
M1215 is the HCPCS code for “Documentation of medical reason(s) for not documenting and reviewing spirometry results (e.g., patients with dementia or tracheostomy)” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
M1215Documentation of medical reason(s) for not documenting and reviewing spirometry results (e.g., patients with dementia or tracheostomy)
Short description: Med rsn for no doc spiro
HCPCS · United States
Medicare details
The indicators CMS publishes with M1215 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 M1215 sits
- 1M codesMedical services and quality measures
- 2Active code M1215Documentation of medical reason(s) for not documenting and reviewing spirometry results (e.g., patients with dementia or tracheostomy)
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 M1215 mean?
M1215 is the HCPCS code for “Documentation of medical reason(s) for not documenting and reviewing spirometry results (e.g., patients with dementia or tracheostomy)” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover M1215?
CMS lists M1215’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 M1215
All M codesM1209At 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 periodM1213No history of spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) and present spirometry is >= 70%M1214Spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) documented and reviewedM1216No 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 encounterM1220Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist or artificial intelligence (ai) interpretation documented and reviewed; with evidence of…M1221Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist or artificial intelligence (ai) interpretation documented and reviewed; without evidence of…