M1268 HCPCS Level II Code: 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
HCPCS Level II code, maintained by CMS. Not a CPT code: CPT (HCPCS Level I) is a separate AMA code set that MedCoder does not publish. About HCPCS Level II
Compare with another code for M1268Check this code on a claim
Code status: Valid code · October 2026. A valid code in the CMS HCPCS Level II October 2026 file. Valid is not covered or payable: Medicare payment and coverage are shown below in CMS’s own terms.
Medicare Coverage & Payment
- CMS short descriptor: Pt ac stat kid trnsplt wtlst
- 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
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.
Coding context
Guidelines, coding notes, decision aids, relationships (with MS-DRG and CCSR classification), hierarchy, HCC, coverage and the context map: what a coder reaches for after the core. Each section names whether it is official source data, a MedCoder-derived relationship or MedCoder editorial.
Contextual Map
Every relationship of M1268 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Nearest codes (40)
- M1248 — Patient responded "completely true" for the question of patient felt this provider and team saw me as a person, not just someone with a medical problem[Sibling]— CMS HCPCS Level II code set
- M1249 — Patient responded "completely true" for the question of patient felt this provider and team understood what is important to me in my life[Sibling]— CMS HCPCS Level II code set
- M1250 — Patient responded as "completely true" for the question of patient felt heard and understood by this provider and team[Sibling]— CMS HCPCS Level II code set
- M1251 — Patients for whom a proxy completed the entire hu survey on their behalf for any reason (no patient involvement)[Sibling]— CMS HCPCS Level II code set
- M1252 — Patients who did not complete at least one of the four patient experience hu survey items and return the hu survey within 60 days of the ambulatory palliative care visit[Sibling]— CMS HCPCS Level II code set
- M1253 — Patients who respond on the patient experience hu survey that they did not receive care by the listed ambulatory palliative care provider in the last 60 days (disavowal)[Sibling]— CMS HCPCS Level II code set
- M1254 — Patients who were deceased when the hu survey reached them[Sibling]— CMS HCPCS Level II code set
- M1255 — Patients who have another reason for visiting the clinic [not prenatal or postpartum care] and have a positive pregnancy test but have not established the clinic as an ob provider (e.g., plan to terminate the pregnancy or seek prenatal services elsewhere)[Sibling]— CMS HCPCS Level II code set
- and 32 more
Change history
- January 1, 2024 — Added to the code set [Change history]— CMS release files (code change ledger)
Reference
Index terms and tables, published questions and FAQ, every source behind this page with its release and checksum, the date-of-service check and the complete change history.
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, descriptors, coverage and pricing attributes Official source data
- CMS HCPCS Alpha-Numeric (ANWEB) release — October 2026 quarterly update Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS HCPCS quarterly update files, ingested into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder-derived relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder editorial explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources
Labels on this page: Official source data · MedCoder-derived relationship · MedCoder editorial explanation. How to read the labels · All data sources and release dates · CMS coding rules
Cite this page
Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.
MedCoder.ai. "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." HCPCS Level II October 2026. https://medcoder.ai/hcpcs/code/m1268-patients-observed-in-active-status-on-any-kidney-or-kidney
Change history
- January 1, 2024Added to the code setPatients observed in active status on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement periodHCPCS 2024 changes
Nearest Codes in This Family
Official HCPCS Level II classifications closest to M1268 in its code family, with their registry titles.
- 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
- 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
- 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
- M1271 — Patients with dementia at any time prior to or during the month
- M1272 — Patients observed on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement period
- M1273 — Patients who were admitted to a skilled nursing facility (snf) within one year of dialysis initiation according to the cms-2728 form