M1463 – Documentation of at least two attempts to follow up with patient within 180 days of treatment

Long description

Documentation of at least two attempts to follow up with patient within 180 days of treatment

Short description

2 f/u wthn 180 day rx atmp

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

• 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
• M1459 – Patient was in hospice or receiving palliative care services at any time during 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
• 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
• M1468 – Patient received recommended doses of hepatitis b vaccination based on age
• M1469 – Patient has a history of hepatitis b illness or received a hepatitis b surface antigen, hepatitis b surface antibody, or total antibody to hepatitis b core antigen test with a positive result any time before or during the measurement period
• M1470 – Documentation of medical reason(s) for not administering hepatitis b vaccine (e.g., prior anaphylaxis due to the hepatitis b vaccine)
• M1471 – Documentation that patient is a medicare fee-for-service beneficiary and without additional supplementary insurance coverage for whom hep b vaccination is not reimbursable under current medicare part b coverage rules