M1472 – Patient did not receive recommended doses of hepatitis b vaccination based on age
HCPCS Level II code · M codes: Medical Services and Quality Measures
HCPCS codeM1472
- Long description
- Patient did not receive recommended doses of hepatitis b vaccination based on age
- Short description
- Hep b vaccine not received
- 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, 2026
- Last change
- January 1, 2026 – No change
Frequently asked questions
What is HCPCS code M1472?
M1472 is a HCPCS Level II code for patient did not receive recommended doses of hepatitis b vaccination based on age.
Does Medicare cover M1472?
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
- 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
- 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
- M1476 – Patients with diagnosis of cognitive impairment or alzheimer's disease
- M1477 – Diagnosis of delirium
- M1478 – Psychoactive substance abuse
- M1479 – Patients whose 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
- M1480 – Patients whose 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
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.