M1278 HCPCS Level II code: Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented
M1278 is the HCPCS code for “Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
M1278Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented
Short description: Pre-htn or htn doc, f/u indc
HCPCS · United States
Medicare details
The indicators CMS publishes with M1278 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 M1278 sits
- 1M codesMedical services and quality measures
- 2Active code M1278Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented
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 M1278 mean?
M1278 is the HCPCS code for “Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover M1278?
CMS lists M1278’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 M1278
All M codesM1272Patients 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 periodM1276Bmi documented outside normal parameters, no follow-up plan documented, no reason givenM1277Colorectal cancer screening results documented and reviewedM1279Elevated 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-userM1283Patient screened for tobacco use and identified as a tobacco userM1284Patients age 66 or older in institutional special needs plans (snp) or residing in long term care with pos code 32, 33, 34, 54, or 56 for more than 90 consecutive days during the…