M1457 HCPCS Level II code: Patient had a diagnosis of asthma with any contact during the current or prior performance period or had asthma present on an active problem list any time…
M1457 is the HCPCS code for “Patient had a diagnosis of asthma with any contact during the current or prior performance period or had asthma present on an active problem list any time during the performance period” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
M1457Patient had a diagnosis of asthma with any contact during the current or prior performance period or had asthma present on an active problem list any time during the performance period
Short description: Dx asth dur crnt/prv perf pd
HCPCS · United States
Medicare details
The indicators CMS publishes with M1457 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 M1457 sits
- 1M codesMedical services and quality measures
- 2Active code M1457Patient had a diagnosis of asthma with any contact during the current or prior performance period or had asthma present on an active problem list any time during the performance 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 M1457 mean?
M1457 is the HCPCS code for “Patient had a diagnosis of asthma with any contact during the current or prior performance period or had asthma present on an active problem list any time during the performance period” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover M1457?
CMS lists M1457’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 M1457
All M codesM1451Patients 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 ciedM1456Patient had a heart transplantM1458Patient died prior to the end of the performance periodM1459Patient was in hospice or receiving palliative care services at any time during the performance periodM1460Diagnosis for chronic obstructive pulmonary disease, emphysema, cystic fibrosis, or acute respiratory failureM1461Patient diagnosis for chronic hepatitis cM1462Patients with clinical indications for imaging of the headM1463Documentation of at least two attempts to follow up with patient within 180 days of treatment