M1260 – Patient status not documented within the first year of initiating dialysis

Long description

Patient status not documented within the first year of initiating dialysis

Short description

Pt not doc <= 1 yr dialysis

Pricing indicator

00 Not separately priced by Part B (bundled, not covered or Part A only)

Medicare coverage

C Carrier judgment – coverage decided by the Medicare contractor

BETOS category

Z2 Undefined codes

Added

January 1, 2024

Last change

January 1, 2025 – No change

Nearby M codes

• M1252 – Patients who did not complete at least one of the four patient experience hu survey items and return the hu survey within 60 days of the ambulatory palliative care visit
• M1253 – Patients who respond on the patient experience hu survey that they did not receive care by the listed ambulatory palliative care provider in the last 60 days (disavowal)
• M1254 – Patients who were deceased when the hu survey reached them
• M1255 – Patients who have another reason for visiting the clinic [not prenatal or postpartum care] and have a positive pregnancy test but have not established the clinic as an ob provider (e.g., plan to terminate the pregnancy or seek prenatal services elsewhere)
• M1256 – Prior history of known cvd
• M1257 – Cvd risk assessment not performed or incomplete (e.g., cvd risk assessment was not documented), reason not otherwise specified
• M1258 – Cvd risk assessment performed, have a documented calculated risk score
• M1259 – Patient status documented within the first year of initiating dialysis
• M1261 – Patients that were on the kidney or kidney-pancreas waitlist prior to initiation of dialysis
• M1262 – Patients who had a transplant prior to initiation of dialysis
• M1263 – Patients in hospice on their initiation of dialysis date or during the month of evaluation
• M1264 – Patients age 75 or older on their initiation of dialysis date
• M1265 – Cms medical evidence form 2728 for dialysis patients: initial form completed
• M1266 – Patients admitted to a skilled nursing facility (snf)
• M1267 – Patients not observed in active status on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement period
• M1268 – Patients observed in active status on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement period