HCPCS Code M1492

Patients who did not report a fall
Code effective Jan 01, 2026

M1492 is a valid 2026 HCPCS code meaning Patients who did not report a fall or (No reported fall) for short. HCPCS M1492 has been effective since 01/01/2026 and applies to Medical care.

HCPCS Code Details - M1492
HCPCS Level II Code Section M - Medical services
HCPCS Code	`M1492`
Description	Long description: Patients who did not report a fall Short description: No reported fall
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, 2026
Date added	Added Jan 01, 2026

HCPCS M1491 · Receiving esrd mcp dialysis services by the provider during the performance period
HCPCS G9563 · Patients who did not have a follow-up evaluation conducted at least every three months during opioid therapy
HCPCS G9645 · Patients who did not abstain from smoking prior to anesthesia on the day of surgery or procedure
HCPCS G9807 · Patients who did not receive cervical cytology or an hpv test
HCPCS M1252 · Patients who did not complete at least one of the four patient experience hu survey items and return the hu survey within 60 days of the ambulatory palliative care visit
HCPCS M1318 · Patients who did not have documented contact with a csp for at least one of their screened positive hrsns within 60 days after screening or documentation that there was no contact with a csp
HCPCS M1341 · Patients who did not have a follow-up assessment or did not have an assessment within 30 to 180 days after the index assessment during the performance period
HCPCS M1344 · Patients who did not have a baseline pam score and/or a second score within 4 to 12 months of baseline pam score
HCPCS M1346 · Patients who did not have a net increase in pam score of at least 6 points within a 4 to 12 month period
HCPCS M1349 · Patients who did not have a net increase in pam score of at least 3 points within a 4 to 12 month period
HCPCS M1353 · Patients who did not have a completed suicide safety plan initiated, reviewed or updated in collaboration with their clinician (concurrent or within 24 hours) of the index clinical encounter
HCPCS M1354 · Patients who did not have a suicide safety plan initiated, reviewed, or updated or reviewed and updated in collaboration with the patient and their clinician concurrent or within 24 hours of clinical encounter and within 120 days after initiation
HCPCS M1358 · Patients who did not have a reduction in suicidal ideation and/or behavior upon follow-up assessment within 120 days of index assessment
HCPCS M1363 · Patients who did not have a follow-up assessment within 120 days of the index assessment
HCPCS M1410 · Patients who did not have germline testing for brca1 and brca2 or genetic counseling completed within 6 months of diagnosis
HCPCS M1415 · Patients who did not have a positive pd-l1 biomarker expression test result prior to the initiation of first-line immune checkpoint inhibitor therapy
HCPCS M1493 · Documentation of falls not performed due to medical reasons (e.g., syncope, vertigo and related disorders, restless leg syndrome, tourette syndrome/tic disorder, back pain, concussion/mild traumatic brain injury (mtbi), cervical dystonia, or epilepsy)

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 6/3/2026

HCPCS Code M1492

HCPCS Code Details - M1492

See also

HCPCS M1491 · Receiving esrd mcp dialysis services by the provider during the performance period

HCPCS G9563 · Patients who did not have a follow-up evaluation conducted at least every three months during opioid therapy

HCPCS G9645 · Patients who did not abstain from smoking prior to anesthesia on the day of surgery or procedure

HCPCS G9807 · Patients who did not receive cervical cytology or an hpv test

HCPCS M1252 · Patients who did not complete at least one of the four patient experience hu survey items and return the hu survey within 60 days of the ambulatory palliative care visit

HCPCS M1318 · Patients who did not have documented contact with a csp for at least one of their screened positive hrsns within 60 days after screening or documentation that there was no contact with a csp

HCPCS M1341 · Patients who did not have a follow-up assessment or did not have an assessment within 30 to 180 days after the index assessment during the performance period

HCPCS M1344 · Patients who did not have a baseline pam score and/or a second score within 4 to 12 months of baseline pam score

HCPCS M1346 · Patients who did not have a net increase in pam score of at least 6 points within a 4 to 12 month period

HCPCS M1349 · Patients who did not have a net increase in pam score of at least 3 points within a 4 to 12 month period

HCPCS M1353 · Patients who did not have a completed suicide safety plan initiated, reviewed or updated in collaboration with their clinician (concurrent or within 24 hours) of the index clinical encounter

HCPCS M1354 · Patients who did not have a suicide safety plan initiated, reviewed, or updated or reviewed and updated in collaboration with the patient and their clinician concurrent or within 24 hours of clinical encounter and within 120 days after initiation

HCPCS M1358 · Patients who did not have a reduction in suicidal ideation and/or behavior upon follow-up assessment within 120 days of index assessment

HCPCS M1363 · Patients who did not have a follow-up assessment within 120 days of the index assessment

HCPCS M1410 · Patients who did not have germline testing for brca1 and brca2 or genetic counseling completed within 6 months of diagnosis

HCPCS M1415 · Patients who did not have a positive pd-l1 biomarker expression test result prior to the initiation of first-line immune checkpoint inhibitor therapy

HCPCS M1493 · Documentation of falls not performed due to medical reasons (e.g., syncope, vertigo and related disorders, restless leg syndrome, tourette syndrome/tic disorder, back pain, concussion/mild traumatic brain injury (mtbi), cervical dystonia, or epilepsy)