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

Long description

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

Short description

Pt ac stat kid trnsplt wtlst

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

• M1260 – Patient status not 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
• M1269 – Receiving esrd mcp dialysis services by the provider on the last day of the reporting month
• M1270 – Patients not on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement period
• M1271 – Patients with dementia at any time prior to or during the month
• M1272 – Patients observed on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement period
• M1273 – Patients who were admitted to a skilled nursing facility (snf) within one year of dialysis initiation according to the cms-2728 form
• M1274 – Patients who were admitted to a skilled nursing facility (snf) during the month of evaluation were excluded from that month
• M1275 – Patients determined to be in hospice were excluded from month of evaluation and the remainder of reporting period
• M1276 – Bmi documented outside normal parameters, no follow-up plan documented, no reason given