M1276 HCPCS Level II code: Bmi documented outside normal parameters, no follow-up plan documented, no reason given
M1276 is the HCPCS code for “Bmi documented outside normal parameters, no follow-up plan documented, no reason given” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
M1276Bmi documented outside normal parameters, no follow-up plan documented, no reason given
Short description: Calc bmi out nrm param nof/u
HCPCS · United States
Medicare details
The indicators CMS publishes with M1276 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 M1276 sits
- 1M codesMedical services and quality measures
- 2Active code M1276Bmi documented outside normal parameters, no follow-up plan documented, no reason given
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 M1276 mean?
M1276 is the HCPCS code for “Bmi documented outside normal parameters, no follow-up plan documented, no reason given” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover M1276?
CMS lists M1276’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 M1276
All M codesM1270Patients not on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement periodM1271Patients with dementia at any time prior to or during the monthM1272Patients observed on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement periodM1273Patients who were admitted to a skilled nursing facility (snf) within one year of dialysis initiation according to the cms-2728 formM1274Patients who were admitted to a skilled nursing facility (snf) during the month of evaluation were excluded from that monthM1275Patients determined to be in hospice were excluded from month of evaluation and the remainder of reporting periodM1277Colorectal cancer screening results documented and reviewedM1278Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documentedM1279Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not givenM1280Women who had a bilateral mastectomy or who have a history of a bilateral mastectomy or for whom there is evidence of a right and a left unilateral mastectomyM1281Blood pressure reading not documented, reason not givenM1282Patient screened for tobacco use and identified as a tobacco non-user