M1265 HCPCS Level II Code: Cms medical evidence form 2728 for dialysis patients: initial form completed
Medicare Coverage & Payment
- Medicare coverage: Carrier judgment (CMS coverage code C)
- Payment category: Service not separately priced (pricing indicator 00)
- BETOS: Z2
- Effective: January 1, 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
Cms medical evidence form 2728 for dialysis patients: initial form completed is a HCPCS Level II code (M1265). CMS assigns coverage code C — Carrier judgment. Short description: Cms 2728 completed.
Nearest Codes in This Family
Official HCPCS Level II classifications closest to M1265 in its code family, with their registry titles.
- 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
- M1264 — Patients age 75 or older on their initiation of dialysis date
- 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
- M1270 — Patients not on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement period