M1459 – Patient was in hospice or receiving palliative care services at any time during the performance period

Long description

Patient was in hospice or receiving palliative care services at any time during the performance period

Short description

Pt hosp/pal care dur perf pd

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, 2026

Last change

January 1, 2026 – No change

Nearby M codes

• M1451 – Patients with an active diagnosis of pervasive developmental disorder any time prior to the end of the measure assessment period
• M1452 – Patient ever had a diagnosis of dementia
• M1453 – Patients with a pre-operative visual acuity better than 20/40
• M1454 – New cied
• M1455 – Replaced or revised cied
• M1456 – Patient had a heart transplant
• M1457 – Patient had a diagnosis of asthma with any contact during the current or prior performance period or had asthma present on an active problem list any time during the performance period
• M1458 – Patient died prior to the end of the performance period
• M1460 – Diagnosis for chronic obstructive pulmonary disease, emphysema, cystic fibrosis, or acute respiratory failure
• M1461 – Patient diagnosis for chronic hepatitis c
• M1462 – Patients with clinical indications for imaging of the head
• M1463 – Documentation of at least two attempts to follow up with patient within 180 days of treatment
• M1464 – No documentation of at least two attempts to follow up with patient within 180 days of treatment
• M1465 – Patient follow up more than 180 days after treatment
• M1466 – Patient had a lumbar fusion on the same date as the discectomy/laminectomy procedure
• M1467 – Patients with an existing diagnosis of lynch syndrome