M1264 HCPCS Level II Code: Patients age 75 or older on their initiation of dialysis date
Medicare Coverage & Payment
- Medicare coverage: Carrier judgment (CMS coverage code C)
- Payment category: Service not separately priced (pricing indicator 00)
- BETOS: Z2 — Undefined codes
- Last CMS action effective: January 1, 2025
- Terminated: December 31, 2024
Source: CMS HCPCS Level II release. Coverage codes indicate how Medicare treats the code, not whether a specific claim will be paid; payer policy and documentation still govern.
Official Registry Overview & Definition
Patients age 75 or older on their initiation of dialysis date is a HCPCS Level II code (M1264). CMS assigns coverage code C — Carrier judgment. CMS terminated this code effective December 31, 2024; it cannot be reported for later dates of service. Short description: Pts 75+ dialysis dt.
Nearest Codes in This Family
Official HCPCS Level II classifications closest to M1264 in its code family, with their registry titles.
- M1259 — Patient status documented within the first year of initiating dialysis
- M1260 — Patient status not documented within the first year of initiating dialysis
- M1261 — Patients that were on the kidney or kidney-pancreas waitlist prior to initiation of dialysis
- M1262 — Patients who had a transplant prior to initiation of dialysis
- M1263 — Patients in hospice on their initiation of dialysis date or during the month of evaluation
- M1265 — Cms medical evidence form 2728 for dialysis patients: initial form completed
- M1266 — Patients admitted to a skilled nursing facility (snf)
- M1267 — Patients not observed in active status on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement period
- M1268 — Patients observed in active status on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement period
- M1269 — Receiving esrd mcp dialysis services by the provider on the last day of the reporting month