M1269 – Receiving esrd mcp dialysis services by the provider on the last day of the reporting month
HCPCS Level II code · M codes: Medical Services and Quality Measures
HCPCS codeM1269
- Long description
- Receiving esrd mcp dialysis services by the provider on the last day of the reporting month
- Short description
- Rec'd esrd mcp lst day of mo
- Pricing indicator
00Not separately priced by Part B (bundled, not covered or Part A only)- Medicare coverage
CCarrier judgment – coverage decided by the Medicare contractor- BETOS category
Z2Undefined codes- Added
- January 1, 2024
- Last change
- January 1, 2024 – No change
Frequently asked questions
What is HCPCS code M1269?
M1269 is a HCPCS Level II code for receiving esrd mcp dialysis services by the provider on the last day of the reporting month.
Does Medicare cover M1269?
The HCPCS file lists coverage code C: Carrier judgment – coverage decided by the Medicare contractor. Coverage and payment also depend on local coverage determinations and the patient’s plan.
Nearby M codes
- 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
- 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
- M1277 – Colorectal cancer screening results documented and reviewed
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.