M1273 – Patients who were admitted to a skilled nursing facility (snf) within one year of dialysis initiation according to the cms-2728 form

Long description

Patients who were admitted to a skilled nursing facility (snf) within one year of dialysis initiation according to the cms-2728 form

Short description

Pts snf 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, 2024 – No change

Nearby M codes

• 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
• 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
• 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
• M1278 – Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented
• M1279 – Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given
• M1280 – Women who had a bilateral mastectomy or who have a history of a bilateral mastectomy or for whom there is evidence of a right and a left unilateral mastectomy
• M1281 – Blood pressure reading not documented, reason not given