M1436 HCPCS Level II code: Encounters conducted via telehealth
M1436 is the HCPCS code for “Encounters conducted via telehealth” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
M1436Encounters conducted via telehealth
Short description: Telehealth enc
HCPCS · United States
Medicare details
The indicators CMS publishes with M1436 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, 2026
Where M1436 sits
- 1M codesMedical services and quality measures
- 2Active code M1436Encounters conducted via telehealth
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 M1436 mean?
M1436 is the HCPCS code for “Encounters conducted via telehealth” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover M1436?
CMS lists M1436’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 M1436
All M codesM1430Retinal exam finding without evidence of retinopathy in both eyes with severity level documented (in measurement year or in the prior year)M1431Encounters conducted via telehealthM1432Encounters conducted via telehealthM1433Patient on oral chemotherapy on or within 30 days before denominator eligible encounterM1434Patient on oral chemotherapy on or within 30 days after denominator eligible encounterM1435Patient on oral chemotherapy during the performance periodM1437Encounters conducted via telehealthM1438Time last known well to hospital arrival less than or equal to 3.5 hours (<= 210 minutes)M1439Significant ocular conditions that impact the visual outcome of surgeryM1440Encounters conducted via telehealthM1441Encounter corresponds to initial diagnosis of sleep apnea or first contact with sleep apnea diagnosed patientM1442Encounters conducted via telehealth