M1347 HCPCS Level II code: Patients who achieved a net increase in pam score of at least 3 points in a 4 to 12 month period (passing)
M1347 is the HCPCS code for “Patients who achieved a net increase in pam score of at least 3 points in a 4 to 12 month period (passing)” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
M1347Patients who achieved a net increase in pam score of at least 3 points in a 4 to 12 month period (passing)
Short description: Pt pam incr 3 pt 4-12 mo
HCPCS · United States
Medicare details
The indicators CMS publishes with M1347 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 M1347 sits
- 1M codesMedical services and quality measures
- 2Active code M1347Patients who achieved a net increase in pam score of at least 3 points in a 4 to 12 month period (passing)
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 M1347 mean?
M1347 is the HCPCS code for “Patients who achieved a net increase in pam score of at least 3 points in a 4 to 12 month period (passing)” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover M1347?
CMS lists M1347’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 M1347
All M codesM1341Patients who did not have a follow-up assessment or did not have an assessment within 30 to 180 days after the index assessment during the performance periodM1342Patients who died during the performance periodM1343Patients who are at pam level 4 at baseline or patients who are flagged with extreme straight line response sets on the pam or with excessive missing responsesM1344Patients who did not have a baseline pam score and/or a second score within 4 to 12 months of baseline pam scoreM1345Patients who had a baseline pam score and a second score within 4 to 12 month of baseline pam scoreM1346Patients who did not have a net increase in pam score of at least 6 points within a 4 to 12 month periodM1348Patients who achieved a net increase in pam score of at least 6-points in a 4 to 12 month period (excellent)M1349Patients who did not have a net increase in pam score of at least 3 points within a 4 to 12 month periodM1350Patients who had a completed suicide safety plan initiated, reviewed or updated in collaboration with their clinician (concurrent or within 24 hours) of the index clinical…M1351Patients who had a suicide safety plan initiated, reviewed, or updated and reviewed and updated in collaboration with the patient and their clinician concurrent or within 24…M1352Suicidal ideation and/or behavior symptoms based on the c-ssrs or equivalent assessmentM1353Patients who did not have a completed suicide safety plan initiated, reviewed or updated in collaboration with their clinician (concurrent or within 24 hours) of the index…