M1494 HCPCS Level II Code: Patients that reported a fall since the last visit
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 that reported a fall since the last visit is a HCPCS Level II code (M1494). CMS assigns coverage code C — Carrier judgment. Short description: Fall rep since last visit.
Nearest Codes in This Family
Official HCPCS Level II classifications closest to M1494 in its code family, with their registry titles.
- 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)
- M1495 — Patients that reported a fall occurred who had a plan of care for falls documented or patients that did not report a fall
- M1496 — Patients that had a fall who did not have a plan of care for falls documented or do not have documentation of being assessed for falls
- M1497 — 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)
- M1498 — Diagnostic radiology mips value pathway
- M1499 — Interventional radiology mips value pathway