HCPCS Code M1164

Patients with dementia any time during the patient's history through the end of the measurement period
Code effective Jan 01, 2023

HCPCS Section
Medical services

M1164 is a valid 2026 HCPCS code meaning Patients with dementia any time during the patient's history through the end of the measurement period or (Pt w/ dementia any time) for short. HCPCS M1164 has been effective since 01/01/2023 and applies to Medical care.

HCPCS Code Details - M1164

HCPCS Level II Code
Section M - Medical services
HCPCS Code M1164
Description

Long description:
Patients with dementia any time during the patient's history through the end of the measurement period

Short description:
Pt w/ dementia any time

HCPCS Pricing indicator 00 - Physician Fee Schedule And Non-Physician Practitioners - Service not separately priced by part B (e.g., services not covered, bundled, used by Part A only, etc.)
Multiple pricing indicator 9 - Not applicable as HCPCS not priced separately by part B or value is not established
Coverage code C - Carrier judgment
BETOS2 code Z2 - Undefined codes
HCPCS Action code N - No maintenance for this code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2023
Date added Added Jan 01, 2023

See also

  • HCPCS M1163 · Patient had anaphylaxis due to the hpv vaccine any time on or before the patient's 13th birthday

  • HCPCS M1271 · Patients with dementia at any time prior to or during the month

  • HCPCS M1165 · Patients who use hospice services any time during the measurement period

1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”

HCPCS Level II codes and descriptors are approved and maintained jointly by the alpha-numeric editorial panel (consisting of CMS, the Health Insurance Association of America, and the Blue Cross and Blue Shield Association). — Updated 6/23/2026

CPT® is a registered trademark of the American Medical Association (AMA). All rights reserved.