Skip to main content
HCPCS Level II/M-Codes/M1488

M1488 HCPCS Level II Code: Patients with a diagnosis for dementia in the year before or 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 — 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 with a diagnosis for dementia in the year before or during the period of evaluation is a HCPCS Level II code (M1488). CMS assigns coverage code C — Carrier judgment. Short description: Dx dementia in msr timeframe.

Nearest Codes in This Family

Official HCPCS Level II classifications closest to M1488 in its code family, with their registry titles.

  • 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
  • M1487 — Patients in hospice 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
  • M1492 — Patients who did not report a fall
  • M1493 — Documentation of falls not performed due to medical reasons (e.g., syncope, vertigo and related disorders, restless leg syndrome, tourette syndrome/tic disorder, back pain, concussion/mild traumatic brain injury (mtbi), cervical dystonia, or epilepsy)