HCPCS Code M1275

Patients determined to be in hospice were excluded from month of evaluation and the remainder of reporting period
Code effective Jan 01, 2024

HCPCS Section
Medical services

M1275 is a valid 2026 HCPCS code meaning Patients determined to be in hospice were excluded from month of evaluation and the remainder of reporting period or (Pts hosp exl) for short. HCPCS M1275 has been effective since 01/01/2024 and applies to Medical care.


HCPCS Code Details - M1275

HCPCS Level II Code
Section M - Medical services
HCPCS Code M1275
Description

Long description:
Patients determined to be in hospice were excluded from month of evaluation and the remainder of reporting period

Short description:
Pts hosp exl

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 M1274 · Patients who were admitted to a skilled nursing facility (snf) during the month of evaluation were excluded from that month

  • HCPCS M1276 · Bmi documented outside normal parameters, no follow-up plan documented, no reason given

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.