HCPCS Code M1496

Patients that had a fall who did not have a plan of care for falls documented or do not have documentation of being assessed for falls
Code effective Jan 01, 2026

HCPCS Section
Medical services

M1496 is a valid 2026 HCPCS code meaning Patients that had a fall who did not have a plan of care for falls documented or do not have documentation of being assessed for falls or (No doc of fall or poc) for short. HCPCS M1496 has been effective since 01/01/2026 and applies to Medical care.

HCPCS Code Details - M1496

HCPCS Level II Code
Section M - Medical services
HCPCS Code M1496
Description

Long description:
Patients that had a fall who did not have a plan of care for falls documented or do not have documentation of being assessed for falls

Short description:
No doc of fall or poc

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

See also

  • HCPCS M1495 · Patients that reported a fall occurred who had a plan of care for falls documented or patients that did not report a fall

  • HCPCS M1497 · 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

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