M1330 HCPCS Level II code: Documentation of patient reason(s) for not having a follow up exam (e.g., inadequate time for follow up)
M1330 is the HCPCS code for “Documentation of patient reason(s) for not having a follow up exam (e.g., inadequate time for follow up)” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
M1330Documentation of patient reason(s) for not having a follow up exam (e.g., inadequate time for follow up)
Short description: Doc pts rsn no f/u xm
HCPCS · United States
Medicare details
The indicators CMS publishes with M1330 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 M1330 sits
- 1M codesMedical services and quality measures
- 2Active code M1330Documentation of patient reason(s) for not having a follow up exam (e.g., inadequate time for follow up)
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 M1330 mean?
M1330 is the HCPCS code for “Documentation of patient reason(s) for not having a follow up exam (e.g., inadequate time for follow up)” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover M1330?
CMS lists M1330’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 M1330
All M codesM1324Patients who had an intravitreal or periocular corticosteroid injection (e.g., triamcinolone, preservative-free triamcinolone, dexamethasone, dexamethasone intravitreal implant…M1325Patients who were not seen for reasons documented by clinician for patient or medical reasons (e.g., inadequate time for follow-up, patients who received a prior intravitreal or…M1326Patients with a diagnosis of hypotonyM1327Patients who were not appropriately evaluated during the initial exam and/or who were not re-evaluated within 8 weeksM1328Patients with a diagnosis of acute vitreous hemorrhageM1329Patients with a post-operative encounter of the eye with the acute pvd within 2 weeks before the initial encounter or 8 weeks after initial acute pvd encounterM1331Patients who were appropriately evaluated during the initial exam and were re-evaluated no later than 8 weeks from initial examM1332Patients who were not appropriately evaluated during the initial exam and/or who were not re-evaluated within 2 weeksM1333Acute vitreous hemorrhageM1334Patients with a post-operative encounter of the eye with the acute pvd within 2 weeks before the initial encounter or 2 weeks after initial acute pvd encounterM1335Documentation of patient reason(s) for not having a follow up exam (e.g., inadequate time for follow up)M1336Patients who were appropriately evaluated during the initial exam and were re-evaluated no later than 2 weeks