HCPCS Code M1263

Patients in hospice on their initiation of dialysis date or during the month of evaluation
Code effective Jan 01, 2024

HCPCS Section
Medical services

M1263 is a valid 2026 HCPCS code meaning Patients in hospice on their initiation of dialysis date or during the month of evaluation or (Pts hosp dialysis dt) for short. HCPCS M1263 has been effective since 01/01/2024 and applies to Medical care.

HCPCS Code Details - M1263

HCPCS Level II Code
Section M - Medical services
HCPCS Code M1263
Description

Long description:
Patients in hospice on their initiation of dialysis date or during the month of evaluation

Short description:
Pts hosp dialysis dt

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, 2024
Date added Added Jan 01, 2024

See also

  • HCPCS M1262 · Patients who had a transplant prior to initiation of dialysis

  • HCPCS M1487 · Patients in hospice in the year before or during the period of evaluation

  • HCPCS M1264 · Patients age 75 or older on their initiation of dialysis date

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 6/25/2026

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