HCPCS Code M1190

Documentation of a kidney health evaluation was not performed or defined by an estimated glomerular filtration rate (egfr) and urine albumin-creatinine ratio (uacr)
Code effective Jan 01, 2023

HCPCS Section
Medical services

M1190 is a valid 2026 HCPCS code meaning Documentation of a kidney health evaluation was not performed or defined by an estimated glomerular filtration rate (egfr) and urine albumin-creatinine ratio (uacr) or (Doc khe not pef w/efgr/uacr) for short. HCPCS M1190 has been effective since 01/01/2023 and applies to Medical care.

HCPCS Code Details - M1190
HCPCS Level II Code Section M - Medical services
HCPCS Code	`M1190`
Description	Long description: Documentation of a kidney health evaluation was not performed or defined by an estimated glomerular filtration rate (egfr) and urine albumin-creatinine ratio (uacr) Short description: Doc khe not pef w/efgr/uacr
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 G8430 · Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status)
HCPCS G8543 · Documentation of a positive functional outcome assessment using a standardized tool; care plan not documented within two days of assessment, reason not given
HCPCS G9518 · Documentation of active injection drug use
HCPCS G9543 · Documentation of at least two attempts to reach the patient to arrange a clinical re-assessment for the appropriateness of filter removal within 3 months of placement
HCPCS G9609 · Documentation of an order for anti-platelet agents
HCPCS G9820 · Documentation of a chlamydia screening test with proper follow-up
HCPCS G9917 · Documentation of advanced stage dementia and caregiver knowledge is limited
HCPCS M1189 · Documentation of a kidney health evaluation defined by an estimated glomerular filtration rate (egfr) and urine albumin-creatinine ratio (uacr) performed
HCPCS M1463 · Documentation of at least two attempts to follow up with patient within 180 days of treatment
HCPCS M1191 · Hospice services provided to patient 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

HCPCS Code M1190

HCPCS Code Details - M1190

See also

HCPCS G8430 · Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status)

HCPCS G8543 · Documentation of a positive functional outcome assessment using a standardized tool; care plan not documented within two days of assessment, reason not given

HCPCS G9518 · Documentation of active injection drug use

HCPCS G9543 · Documentation of at least two attempts to reach the patient to arrange a clinical re-assessment for the appropriateness of filter removal within 3 months of placement

HCPCS G9609 · Documentation of an order for anti-platelet agents

HCPCS G9820 · Documentation of a chlamydia screening test with proper follow-up

HCPCS G9917 · Documentation of advanced stage dementia and caregiver knowledge is limited

HCPCS M1189 · Documentation of a kidney health evaluation defined by an estimated glomerular filtration rate (egfr) and urine albumin-creatinine ratio (uacr) performed

HCPCS M1463 · Documentation of at least two attempts to follow up with patient within 180 days of treatment

HCPCS M1191 · Hospice services provided to patient any time during the measurement period