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HCPCS Level II/M-Codes/M1465

M1465 HCPCS Level II Code: Patient follow up more than 180 days after treatment

Medicare Coverage & Payment

  • 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, 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 follow up more than 180 days after treatment is a HCPCS Level II code (M1465). CMS assigns coverage code C — Carrier judgment. Short description: F/u > 180 days after rx.

Nearest Codes in This Family

Official HCPCS Level II classifications closest to M1465 in its code family, with their registry titles.

  • 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
  • M1466 — Patient had a lumbar fusion on the same date as the discectomy/laminectomy procedure
  • M1467 — Patients with an existing diagnosis of lynch syndrome
  • M1468 — Patient received recommended doses of hepatitis b vaccination based on age
  • M1469 — Patient has a history of hepatitis b illness or received a hepatitis b surface antigen, hepatitis b surface antibody, or total antibody to hepatitis b core antigen test with a positive result any time before or during the measurement period
  • M1470 — Documentation of medical reason(s) for not administering hepatitis b vaccine (e.g., prior anaphylaxis due to the hepatitis b vaccine)