HCPCS Code M1186

Patients who have an order for or are receiving hospice or palliative care
Code effective Jan 01, 2023

M1186 is a valid 2026 HCPCS code meaning Patients who have an order for or are receiving hospice or palliative care or (Pt w/ rx for hspc/plltv care) for short. HCPCS M1186 has been effective since 01/01/2023 and applies to Medical care.

HCPCS Code Details - M1186
HCPCS Level II Code Section M - Medical services
HCPCS Code	`M1186`
Description	Long description: Patients who have an order for or are receiving hospice or palliative care Short description: Pt w/ rx for hspc/plltv care
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

HCPCS M1185 · Documentation of immune checkpoint inhibitor therapy not held and/or corticosteroids or immunosuppressants prescribed or administered was not performed, reason not given
HCPCS G8860 · Patients who have received dose of corticosteroids greater than or equal to 10mg/day for 60 or greater consecutive days
HCPCS G9469 · Patients who have received or are receiving corticosteroids greater than or equal to 10 mg/day of prednisone equivalents for 90 or greater consecutive days or a single prescription equating to 900 mg prednisone or greater for all fills
HCPCS G9675 · Patients who have ever had a fasting or direct laboratory result of ldl-c = 190 mg/dl
HCPCS G9774 · Patients who have had a hysterectomy
HCPCS G9778 · Patients who have a diagnosis of pregnancy at any time during the measurement period
HCPCS G9780 · Patients who have a diagnosis of rhabdomyolysis at any time during the performance period
HCPCS M1255 · Patients who have another reason for visiting the clinic [not prenatal or postpartum care] and have a positive pregnancy test but have not established the clinic as an ob provider (e.g., plan to terminate the pregnancy or seek prenatal services elsewhere)
HCPCS M1408 · Patients who have germline brca testing completed before diagnosis of epithelial ovarian, fallopian tube, or primary peritoneal cancer
HCPCS M1428 · Patients who have bilateral absence of eyes any time during the patient's history through the end of the measurement period
HCPCS M1187 · Patients with a diagnosis of end stage renal disease (esrd)

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

HCPCS Code M1186

HCPCS Code Details - M1186

See also

HCPCS M1185 · Documentation of immune checkpoint inhibitor therapy not held and/or corticosteroids or immunosuppressants prescribed or administered was not performed, reason not given

HCPCS G8860 · Patients who have received dose of corticosteroids greater than or equal to 10mg/day for 60 or greater consecutive days

HCPCS G9469 · Patients who have received or are receiving corticosteroids greater than or equal to 10 mg/day of prednisone equivalents for 90 or greater consecutive days or a single prescription equating to 900 mg prednisone or greater for all fills

HCPCS G9675 · Patients who have ever had a fasting or direct laboratory result of ldl-c = 190 mg/dl

HCPCS G9774 · Patients who have had a hysterectomy

HCPCS G9778 · Patients who have a diagnosis of pregnancy at any time during the measurement period

HCPCS G9780 · Patients who have a diagnosis of rhabdomyolysis at any time during the performance period

HCPCS M1255 · Patients who have another reason for visiting the clinic [not prenatal or postpartum care] and have a positive pregnancy test but have not established the clinic as an ob provider (e.g., plan to terminate the pregnancy or seek prenatal services elsewhere)

HCPCS M1408 · Patients who have germline brca testing completed before diagnosis of epithelial ovarian, fallopian tube, or primary peritoneal cancer

HCPCS M1428 · Patients who have bilateral absence of eyes any time during the patient's history through the end of the measurement period

HCPCS M1187 · Patients with a diagnosis of end stage renal disease (esrd)