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HCPCS Level II/M-Codes/M1452

M1452 HCPCS Level II Code: Patient ever had a diagnosis of dementia

M1452 is the authoritative medical code for Patient ever had a diagnosis of dementia. This classification is used in medical billing and clinical recording to specify the clinical criteria for patient ever had a diagnosis of dementia (HCPCS Level II M1452), 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, 2026

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

Patient ever had a diagnosis of dementia is a HCPCS Level II code (M1452) for a Medicare-covered supply, service, or procedure. Short description: Pt dx dementia ever.

Nearest Codes in This Family

Official HCPCS Level II classifications closest to M1452 in its code family, with their registry titles.

  • M1447 — Patients with an active diagnosis of bipolar disorder any time prior to the end of the measure assessment period
  • M1448 — Patients with an active diagnosis of personality disorder any time prior to the end of the measure assessment period
  • M1449 — Patients with an active diagnosis of schizophrenia or psychotic disorder any time prior to the end of the measure assessment period
  • M1450 — Patients who received hospice or palliative care service any time during denominator identification period or the measure assessment period
  • M1451 — Patients with an active diagnosis of pervasive developmental disorder any time prior to the end of the measure assessment period
  • M1453 — Patients with a pre-operative visual acuity better than 20/40
  • M1454 — New cied
  • M1455 — Replaced or revised cied
  • M1456 — Patient had a heart transplant
  • M1457 — Patient had a diagnosis of asthma with any contact during the current or prior performance period or had asthma present on an active problem list any time during the performance period