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M1449 HCPCS Level II code: Patients with an active diagnosis of schizophrenia or psychotic disorder any time prior to the end of the measure assessment period

M1449 is the HCPCS code for “Patients with an active diagnosis of schizophrenia or psychotic disorder any time prior to the end of the measure assessment period” in CMS’s October 2026 release, in effect from Oct 1, 2026.

Official description

M1449

Patients with an active diagnosis of schizophrenia or psychotic disorder any time prior to the end of the measure assessment period

Short description: Pt dx scz/pys bef end msr pd

HCPCS · United States

Medicare details

The indicators CMS publishes with M1449 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 M1449 sits

  1. 1M codesMedical services and quality measures
  2. 2Active code M1449Patients with an active diagnosis of schizophrenia or psychotic disorder any time prior to the end of the measure assessment 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.

See M1449 in the CMS source

Frequently asked questions

What does HCPCS code M1449 mean?

M1449 is the HCPCS code for “Patients with an active diagnosis of schizophrenia or psychotic disorder any time prior to the end of the measure assessment period” in CMS’s HCPCS Level II October 2026 release.

Does Medicare cover M1449?

CMS lists M1449’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 M1449

M1443Encounters conducted via telehealthM1444Delivery at < 39 weeks of gestationM1445Postpartum care visit before or at 12 weeks of giving birthM1446Patients who died any time prior to the end of the measure assessment periodM1447Patients with an active diagnosis of bipolar disorder any time prior to the end of the measure assessment periodM1448Patients with an active diagnosis of personality disorder any time prior to the end of the measure assessment periodM1450Patients who received hospice or palliative care service any time during denominator identification period or the measure assessment periodM1451Patients with an active diagnosis of pervasive developmental disorder any time prior to the end of the measure assessment periodM1452Patient ever had a diagnosis of dementiaM1453Patients with a pre-operative visual acuity better than 20/40M1454New ciedM1455Replaced or revised cied