M1000 HCPCS code: Pain screened as moderate to severe
M1000 is the HCPCS Level II code for pain screened as moderate to severe. CMS terminated M1000 on 2019-12-31; do not bill it for later dates of service. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case.
Code details
| Field | Value |
|---|---|
| Section | M codes — Medical services and quality measures |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 00 — Not separately priced by Medicare |
| BETOS category | Z2 |
| Added | 2019-01-01 |
| Last action effective | 2020-01-01 |
| Terminated | 2019-12-31 |
What changed for M1000
- 2019-01-01: M1000 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code M1000?
M1000 is the HCPCS Level II code for pain screened as moderate to severe. Short descriptor: "Pain scr as mod to sevr".
Does Medicare cover M1000?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Related M10 codes
- M1001 — Plan of care to address moderate to severe pain documented on or before the date of the second visit with a clinician
- M1002 — Plan of care for moderate to severe pain not documented on or before the date of the second visit with a clinician, reason not given
- M1003 — Tb screening performed and results interpreted within twelve months prior to initiation of first-time biologic and/or immune response modifier therapy
- M1004 — Documentation of medical reason for not screening for tb or interpreting results (i.e., patient positive for tb and documentation of past treatment; patient who has recently completed a course of anti-tb therapy)
- M1005 — Tb screening not performed or results not interpreted, reason not given
- M1006 — Disease activity not assessed, reason not given
- M1007 — >=50% of total number of a patient's outpatient ra encounters assessed
- M1008 — <50% of total number of a patient's outpatient ra encounters assessed
- M1009 — Discharge/discontinuation of the episode of care documented in the medical record
- M1010 — Discharge/discontinuation of the episode of care documented in the medical record
- M1011 — Discharge/discontinuation of the episode of care documented in the medical record
- M1012 — Discharge/discontinuation of the episode of care documented in the medical record
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Next steps
- Run a reimbursement report for a device billed under M1000
- Watch M1000 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for M1000
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.