M1274 – Patients who were admitted to a skilled nursing facility (snf) during the month of evaluation were excluded from that month
HCPCS Level II code · M codes: Medical Services and Quality Measures
HCPCS codeM1274
- Long description
- Patients who were admitted to a skilled nursing facility (snf) during the month of evaluation were excluded from that month
- Short description
- Pts snf exl 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 M1274?
M1274 is a HCPCS Level II code for patients who were admitted to a skilled nursing facility (snf) during the month of evaluation were excluded from that month.
Does Medicare cover M1274?
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
- 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
- M1273 – Patients who were admitted to a skilled nursing facility (snf) within one year of dialysis initiation according to the cms-2728 form
- 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
- M1282 – Patient screened for tobacco use and identified as a tobacco non-user
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.