M1257 Cvd risk assessment not performed or incomplete (e.g., cvd risk assessment was not documented), reason not otherwise specified

Short descriptor: Cvd risk assess not perf

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M1257 is the HCPCS Level II code for Cvd risk assessment not performed or incomplete (e.g., cvd risk assessment was not documented), reason not otherwise specified (2026). It belongs to Section M — Medical Services. Under Medicare, its coverage status is: Carrier judgment. Part B pricing methodology: Not separately priced by Part B.

Classification & CMS Attributes

Medicare Coverage
Carrier judgment (code C)
Part B Pricing
Not separately priced by Part B (indicator 00)
Type of Service
Medical care
Effective Date
2024-01-01
2026 Maintenance
No change this year

References

Cite This Page

Reference M1257 with the canonical source and edition:

M1257 — Cvd risk assessment not performed or incomplete (e.g., cvd risk assessment was not documented), reason not otherwise specified. ICD-10 Coding Pro (HCPCS Level II 2026). https://icd10codingpro.com/hcpcs-codes/M1257

Canonical URL: https://icd10codingpro.com/hcpcs-codes/M1257

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Reviewed by Prajwal Shrestha, CPC, CRC
Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC) · AAPC Member ID 01997614 · About · Editorial policy · Content last reviewed: 2026-01-01

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