M1291 – Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period

Long description

Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period

Short description

Pt 66+ frailty and med dem

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

• M1283 – Patient screened for tobacco use and identified as a tobacco user
• M1284 – Patients age 66 or older in institutional special needs plans (snp) or residing in long term care with pos code 32, 33, 34, 54, or 56 for more than 90 consecutive days during the measurement period
• M1285 – Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified
• M1286 – Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason
• M1287 – Bmi is documented below normal parameters and a follow-up plan is documented
• M1288 – Documented reason for not screening or recommending a follow-up for high blood pressure
• M1289 – Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy)
• M1290 – Patient not eligible due to active diagnosis of hypertension
• M1292 – Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and an advanced illness diagnosis during the measurement period or the year prior to the measurement period
• M1293 – Bmi is documented above normal parameters and a follow-up plan is documented
• M1294 – Normal blood pressure reading documented, follow-up not required
• M1295 – Patients with a diagnosis or past history of total colectomy or colorectal cancer
• M1296 – Bmi is documented within normal parameters and no follow-up plan is required
• M1297 – Bmi not documented due to medical reason or patient refusal of height or weight measurement
• M1298 – Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter
• M1299 – Influenza immunization administered or previously received