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HCPCS Level II/M-Codes/M1481

M1481 HCPCS Level II Code: Patients receiving hospice or palliative care or who died during the measurement period

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

Patients receiving hospice or palliative care or who died during the measurement period is a HCPCS Level II code (M1481). CMS assigns coverage code C — Carrier judgment. Short description: Pt in hosp/pal care who died.

Nearest Codes in This Family

Official HCPCS Level II classifications closest to M1481 in its code family, with their registry titles.

  • M1476 — Patients with diagnosis of cognitive impairment or alzheimer's disease
  • M1477 — Diagnosis of delirium
  • M1478 — Psychoactive substance abuse
  • M1479 — Patients whose 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
  • M1480 — Patients whose 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
  • M1482 — Positive/detectable hepatitis c virus quantitative or qualitative rna test result during the denominator identification period
  • M1483 — Patients who achieve sustained virological response as identified by an hcv rna test (cpt 87522) or (cpt 87521) with a negative/undetectable hcv rna result that occurred 20 weeks to 12 months after the first positive/detectable hcv rna test result within the denominator identification period
  • M1484 — Patients who did not have a repeat hcv rna labs performed for medical reasons documented by clinician (e.g., patient with limited life expectancy, delay in treatment of hcv related to treatment of hiv, hbv, hepatocellular carcinoma, decompensated cirrhosis)
  • M1485 — Patients who did not achieve sustained virological response as identified by an hcv rna test (cpt 87522) or (cpt 87521) with a negative/undetectable hcv rna result that occurred 20 weeks to 12 months after the first positive/detectable hcv rna test result within the denominator identification period
  • M1486 — Patients admitted to a skilled nursing facility (snf) during the period of evaluation