M1467 – Patients with an existing diagnosis of lynch syndrome

Long description

Patients with an existing diagnosis of lynch syndrome

Short description

Pt dx lynch syn

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

• 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
• 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
• 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
• M1472 – Patient did not receive recommended doses of hepatitis b vaccination based on age
• M1473 – Patient situations, at any point during the denominator identification period, where the patient's functional capacity or motivation (or lack thereof) to improve may impact the accuracy of results of validated tools, such as delirium, dementia, intellectual disabilities, and pervasive and specific development disorders
• M1474 – Patients with diagnosis of dementia
• M1475 – Patients with diagnosis of huntington's disease