M1494 – Patients that reported a fall since the last visit

Long description

Patients that reported a fall since the last visit

Short description

Fall rep since last visit

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

• M1486 – Patients admitted to a skilled nursing facility (snf) during the period of evaluation
• M1487 – Patients in hospice in the year before or during the period of evaluation
• M1488 – Patients with a diagnosis for dementia in the year before or during the period of evaluation
• M1489 – Patient status documented
• M1490 – Patient status not documented
• M1491 – Receiving esrd mcp dialysis services by the provider during the performance period
• M1492 – Patients who did not report a fall
• M1493 – Documentation of falls not performed due to medical reasons (e.g., syncope, vertigo and related disorders, restless leg syndrome, tourette syndrome/tic disorder, back pain, concussion/mild traumatic brain injury (mtbi), cervical dystonia, or epilepsy)
• M1495 – Patients that reported a fall occurred who had a plan of care for falls documented or patients that did not report a fall
• M1496 – Patients that had a fall who did not have a plan of care for falls documented or do not have documentation of being assessed for falls
• M1497 – Documentation of falls not performed due to medical reasons (e.g., syncope, vertigo and related disorders, restless leg syndrome, tourette syndrome/tic disorder, back pain, concussion/mild traumatic brain injury (mtbi), cervical dystonia, or epilepsy)
• M1498 – Diagnostic radiology mips value pathway
• M1499 – Interventional radiology mips value pathway
• M1500 – Neuropsychology mips value pathway
• M1501 – Pathology mips value pathway
• M1502 – Podiatry mips value pathway