M1349 HCPCS Level II code: Patients who did not have a net increase in pam score of at least 3 points within a 4 to 12 month period
M1349 is the HCPCS code for “Patients who did not have a net increase in pam score of at least 3 points within a 4 to 12 month period” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
M1349Patients who did not have a net increase in pam score of at least 3 points within a 4 to 12 month period
Short description: No pam inc 3 pts 4-12 mo
HCPCS · United States
Medicare details
The indicators CMS publishes with M1349 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 M1349 sits
- 1M codesMedical services and quality measures
- 2Active code M1349Patients who did not have a net increase in pam score of at least 3 points within a 4 to 12 month period
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 M1349 mean?
M1349 is the HCPCS code for “Patients who did not have a net increase in pam score of at least 3 points within a 4 to 12 month period” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover M1349?
CMS lists M1349’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 M1349
All M codesM1343Patients 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 periodM1347Patients who achieved a net increase in pam score of at least 3 points in a 4 to 12 month period (passing)M1348Patients who achieved a net increase in pam score of at least 6-points in a 4 to 12 month period (excellent)M1350Patients 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…M1354Patients who did not have a suicide safety plan initiated, reviewed, or updated or reviewed and updated in collaboration with the patient and their clinician concurrent or within…M1355Suicide risk based on their clinician's evaluation or a clinician-rated tool