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HCPCS Level II/M-Codes/M1466

M1466 HCPCS Level II Code: Patient had a lumbar fusion on the same date as the discectomy/laminectomy procedure

M1466 is the authoritative medical code for Patient had a lumbar fusion on the same date as the discectomy/laminectomy procedure. This classification is used in medical billing and clinical recording to specify the clinical criteria for patient had a lumbar fusion on the same date as the discectomy/laminectomy procedure (HCPCS Level II M1466), 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 had a lumbar fusion on the same date as the discectomy/laminectomy procedure is a HCPCS Level II code (M1466) for a Medicare-covered supply, service, or procedure. Short description: Pt disc/lam proc same day.

Nearest Codes in This Family

Official HCPCS Level II classifications closest to M1466 in its code family, with their registry titles.

  • 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
  • M1465 — Patient follow up more than 180 days after treatment
  • 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)
  • M1471 — Documentation that patient is a medicare fee-for-service beneficiary and without additional supplementary insurance coverage for whom hep b vaccination is not reimbursable under current medicare part b coverage rules