Skip to main content
HCPCS Level II/M-Codes/M1486

M1486 HCPCS Level II Code: Patients admitted to a skilled nursing facility (snf) during the period of evaluation

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

Patients admitted to a skilled nursing facility (snf) during the period of evaluation is a HCPCS Level II code (M1486) for a Medicare-covered supply, service, or procedure. Short description: Pt admitted to snf dur eval.

Nearest Codes in This Family

Official HCPCS Level II classifications closest to M1486 in its code family, with their registry titles.

  • M1481 — Patients receiving hospice or palliative care or who died during the measurement period
  • 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
  • M1487 — Patients in hospice in the year before or during the period of evaluation
  • M1488 — Patients with a diagnosis for dementia in the year before or during the period of evaluation
  • M1489 — Patient status documented
  • M1490 — Patient status not documented
  • M1491 — Receiving esrd mcp dialysis services by the provider during the performance period