M1392 HCPCS Level II code: Documentation of patient reasons for no examination, i.e., refusal of examination or lost to follow-up (documentation must include information that the…
M1392 is the HCPCS code for “Documentation of patient reasons for no examination, i.e., refusal of examination or lost to follow-up (documentation must include information that the clinician was unable to reach the patient by…” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
M1392Documentation of patient reasons for no examination, i.e., refusal of examination or lost to follow-up (documentation must include information that the clinician was unable to reach the patient by phone, mail or secure electronic mail - at least one method must be documented)
Short description: Pt rsn no exm or lst to fu
HCPCS · United States
Medicare details
The indicators CMS publishes with M1392 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, 2025
Where M1392 sits
- 1M codesMedical services and quality measures
- 2Active code M1392Documentation of patient reasons for no examination, i.e., refusal of examination or lost to follow-up (documentation must include information that the clinician was unable to reach the patient by phone, mail or secure electronic mail - at least one method must be 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 M1392 mean?
M1392 is the HCPCS code for “Documentation of patient reasons for no examination, i.e., refusal of examination or lost to follow-up (documentation must include information that the clinician was unable to reach the patient by phone, mail or secure electronic mail - at least one method must be documented)” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover M1392?
CMS lists M1392’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 M1392
All M codesM1385Documentation of patient reasons for patients who were not seen for the second pam survey (e.g., less than four months between baseline pam assessment and follow-upM1386Patients with an excisional surgery for melanoma or melanoma in situ in the past 5 years with an initial ajcc staging of 0, i, or ii at the start of the performance periodM1387Patients who died during the performance periodM1388Patients with documentation of an exam performed for recurrence of melanomaM1390Patients who do not have a documented exam performed for recurrence of melanoma or no documentation within the performance periodM1391All patients who were diagnosed with recurrent melanoma during the current performance periodM1393Patients who were not diagnosed with recurrent melanoma during the current performance periodM1394Stages i-iii breast cancerM1395Patients receiving an initial chemotherapy regimen with a defined duration with the eligible clinician or groupM1396Patients on a therapeutic clinical trialM1397Patients with recurrence/disease progressionM1398Patients with baseline and follow-up promis surveys documented in the medical record