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M1201

Med rsn no ace-i/arb rx

Documentation of medical reason(s) for not prescribing ace inhibitor (ace-i) or arb therapy during the measurement period (e.g., pregnancy, history of angioedema to ace-i, other allergy to ace-i and arb, hyperkalemia or history of hyperkalemia while on ace-i or arb therapy, acute kidney injury due to ace-i or arb therapy), other medical reasons)

Code system
HCPCS Level II
Status
Active
Billable
Yes
In effect from
2023-01-01
Request
curl https://api.healthcare.dev/v1/codes/hcpcs/M1201 \
  -H "Authorization: Bearer $HDEV_API_KEY"
200 OK · application/json
{
  "data": {
    "code": "M1201",
    "parent": null,
    "status": "active",
    "system": "hcpcs",
    "display": "Med rsn no ace-i/arb rx",
    "billable": true,
    "attributes": {
      "betos": "Z2",
      "coverage": "C",
      "action_code": "N",
      "type_of_service": "1",
      "pricing_indicator": "00",
      "action_effective_date": "2023-01-01"
    },
    "description": "Documentation of medical reason(s) for not prescribing ace inhibitor (ace-i) or arb therapy during the measurement period (e.g., pregnancy, history of angioedema to ace-i, other allergy to ace-i and arb, hyperkalemia or history of hyperkalemia while on ace-i or arb therapy, acute kidney injury due to ace-i or arb therapy), other medical reasons)",
    "replaced_by": [],
    "effective_end": null,
    "effective_start": "2023-01-01",
    "care_categories": [],
    "care_category_details": []
  },
  "meta": {
    "source": "cms-hcpcs",
    "data_version": "2026-10"
  }
}

CMS attributes

M1201 in the HCPCS file

betos
Z2
coverage
C
action code
N
type of service
1
pricing indicator
00
action effective date
2023-01-01

Change history

Lifecycle

M1201 has been in effect since 2023-01-01. This page shows HCPCS Level II release 2026-10.

Add as_of=YYYY-MM-DD to the request to get this code exactly as it was on a past date. The change feed (GET /v1/changes) lists what each release added, changed or retired across the whole dataset; a per-code change list isn't published yet.

Use it

Look up M1201 from code or an agent

curl
curl https://api.healthcare.dev/v1/codes/hcpcs/M1201 \
  -H "Authorization: Bearer $HDEV_API_KEY"
MCP prompt
Using the healthcare.dev MCP server, look up HCPCS Level II code M1201. Tell me what it covers, whether it is active and since when, and any CMS attributes it has.

Source: CMS, release 2026-10. Public domain (D-series CDT codes excluded). Reference data, not medical or billing advice.