M1459 HCPCS Level II Code: Patient was in hospice or receiving palliative care services at any time during the performance period
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 was in hospice or receiving palliative care services at any time during the performance period is a HCPCS Level II code (M1459) for a Medicare-covered supply, service, or procedure. Short description: Pt hosp/pal care dur perf pd.
Nearest Codes in This Family
Official HCPCS Level II classifications closest to M1459 in its code family, with their registry titles.
- 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
- M1458 — Patient died prior to the end of the performance period
- M1460 — Diagnosis for chronic obstructive pulmonary disease, emphysema, cystic fibrosis, or acute respiratory failure
- M1461 — Patient diagnosis for chronic hepatitis c
- M1462 — Patients with clinical indications for imaging of the head
- M1463 — Documentation of at least two attempts to follow up with patient within 180 days of treatment
- M1464 — No documentation of at least two attempts to follow up with patient within 180 days of treatment