M1273 HCPCS Level II Code: Patients who were admitted to a skilled nursing facility (snf) within one year of dialysis initiation according to the CMS-2728 form
M1273 is the authoritative medical code for Patients who were admitted to a skilled nursing facility (snf) within one year of dialysis initiation according to the CMS-2728 form. This classification is used in medical billing and clinical recording to specify the clinical criteria for patients who were admitted to a skilled nursing facility (snf) within one year of dialysis initiation according to the cms-2728 form (HCPCS Level II M1273), ensuring healthcare documentation aligns with current federal coding standards.
Billing Status: Processed within HCPCS Level II standards. CMS regulatory guidelines apply.
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
Nearest Codes in This Family
Official HCPCS Level II classifications closest to M1273 in its code family, with their registry titles.
- 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
- 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
- M1274 — Patients who were admitted to a skilled nursing facility (snf) during the month of evaluation were excluded from that month
- M1275 — Patients determined to be in hospice were excluded from month of evaluation and the remainder of reporting period
- M1276 — Bmi documented outside normal parameters, no follow-up plan documented, no reason given
- M1277 — Colorectal cancer screening results documented and reviewed
- M1278 — Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented