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HCPCS Level II/M-Codes/M1275

M1275 HCPCS Level II Code: Patients determined to be in hospice were excluded from month of evaluation and the remainder of reporting period

M1275 is the authoritative medical code for Patients determined to be in hospice were excluded from month of evaluation and the remainder of reporting period. This classification is used in medical billing and clinical recording to specify the clinical criteria for patients determined to be in hospice were excluded from month of evaluation and the remainder of reporting period (HCPCS Level II M1275), 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

Patients determined to be in hospice were excluded from month of evaluation and the remainder of reporting period is a HCPCS Level II code (M1275) for a Medicare-covered supply, service, or procedure. Short description: Pts hosp exl.

Nearest Codes in This Family

Official HCPCS Level II classifications closest to M1275 in its code family, with their registry titles.

  • 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
  • M1274 — Patients who were admitted to a skilled nursing facility (snf) during the month of evaluation were excluded from that month
  • 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
  • M1279 — Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given
  • M1280 — Women who had a bilateral mastectomy or who have a history of a bilateral mastectomy or for whom there is evidence of a right and a left unilateral mastectomy