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HCPCS Level II/M-Codes/M1472

M1472 HCPCS Level II Code: Patient did not receive recommended doses of hepatitis b vaccination based on age

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 did not receive recommended doses of hepatitis b vaccination based on age is a HCPCS Level II code (M1472). CMS assigns coverage code C — Carrier judgment. Short description: Hep b vaccine not received.

Nearest Codes in This Family

Official HCPCS Level II classifications closest to M1472 in its code family, with their registry titles.

  • 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
  • M1473 — Patient situations, at any point during the denominator identification period, where the patient's functional capacity or motivation (or lack thereof) to improve may impact the accuracy of results of validated tools, such as delirium, dementia, intellectual disabilities, and pervasive and specific development disorders
  • M1474 — Patients with diagnosis of dementia
  • M1475 — Patients with diagnosis of huntington's disease
  • M1476 — Patients with diagnosis of cognitive impairment or alzheimer's disease
  • M1477 — Diagnosis of delirium