HCPCS M-Codes
Medical services

  • M1450

    Patients who received hospice or palliative care service any time during denominator identification period or the measure assessment period

  • M1451

    Patients with an active diagnosis of pervasive developmental disorder any time prior to the end of the measure assessment period

  • M1452

    Patient ever had a diagnosis of dementia

  • M1453

    Patients with a pre-operative visual acuity better than 20/40

  • M1454

    New cied

  • M1455

    Replaced or revised cied

  • M1456

    Patient had a heart transplant

  • M1457

    Patient had a diagnosis of asthma with any contact during the current or prior performance period or had asthma present on an active problem list any time during the performance period

  • M1458

    Patient died prior to the end of the performance period

  • M1459

    Patient was in hospice or receiving palliative care services at any time during the performance period
  • Continued

  • M1460

    Diagnosis for chronic obstructive pulmonary disease, emphysema, cystic fibrosis, or acute respiratory failure

  • M1461

    Patient diagnosis for chronic hepatitis c

  • M1462

    Patients with clinical indications for imaging of the head

  • M1463

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

  • M1464

    No documentation of at least two attempts to follow up with patient within 180 days of treatment

  • M1465

    Patient follow up more than 180 days after treatment

  • M1466

    Patient had a lumbar fusion on the same date as the discectomy/laminectomy procedure

  • M1467

    Patients with an existing diagnosis of lynch syndrome

  • M1468

    Patient received recommended doses of hepatitis b vaccination based on age

  • M1469

    Patient has a history of hepatitis b illness or received a hepatitis b surface antigen, hepatitis b surface antibody, or total antibody to hepatitis b core antigen test with a positive result any time before or during the measurement period

  • M1470

    Documentation of medical reason(s) for not administering hepatitis b vaccine (e.g., prior anaphylaxis due to the hepatitis b vaccine)

  • M1471

    Documentation that patient is a medicare fee-for-service beneficiary and without additional supplementary insurance coverage for whom hep b vaccination is not reimbursable under current medicare part b coverage rules

  • M1472

    Patient did not receive recommended doses of hepatitis b vaccination based on age

  • M1473

    Patient situations, at any point during the denominator identification period, where the patient's functional capacity or motivation (or lack thereof) to improve may impact the accuracy of results of validated tools, such as delirium, dementia, intellectual disabilities, and pervasive and specific development disorders

  • M1474

    Patients with diagnosis of dementia

  • M1475

    Patients with diagnosis of huntington's disease

  • M1476

    Patients with diagnosis of cognitive impairment or alzheimer's disease

  • M1477

    Diagnosis of delirium

  • M1478

    Psychoactive substance abuse

  • M1479

    Patients whose functional capacity or motivation (or lack thereof) to improve may impact the accuracy of results of validated tools such as delirium, dementia, intellectual disabilities, and pervasive and specific development disorders
  • Continued

  • M1480

    Patients whose functional capacity or motivation (or lack thereof) to improve may impact the accuracy of results of validated tools such as delirium, dementia, intellectual disabilities, and pervasive and specific development disorders

  • M1481

    Patients receiving hospice or palliative care or who died during the measurement period

  • M1482

    Positive/detectable hepatitis c virus quantitative or qualitative rna test result during the denominator identification period

  • M1483

    Patients who achieve sustained virological response as identified by an hcv rna test (cpt 87522) or (cpt 87521) with a negative/undetectable hcv rna result that occurred 20 weeks to 12 months after the first positive/detectable hcv rna test result within the denominator identification period

  • M1484

    Patients who did not have a repeat hcv rna labs performed for medical reasons documented by clinician (e.g., patient with limited life expectancy, delay in treatment of hcv related to treatment of hiv, hbv, hepatocellular carcinoma, decompensated cirrhosis)

  • M1485

    Patients who did not achieve sustained virological response as identified by an hcv rna test (cpt 87522) or (cpt 87521) with a negative/undetectable hcv rna result that occurred 20 weeks to 12 months after the first positive/detectable hcv rna test result within the denominator identification period

  • M1486

    Patients admitted to a skilled nursing facility (snf) during the period of evaluation

  • M1487

    Patients in hospice in the year before or during the period of evaluation

  • M1488

    Patients with a diagnosis for dementia in the year before or during the period of evaluation

  • M1489

    Patient status documented

  • M1490

    Patient status not documented

  • M1491

    Receiving esrd mcp dialysis services by the provider during the performance period

  • M1492

    Patients who did not report a fall

  • 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)

  • M1494

    Patients that reported a fall since the last visit

  • M1495

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

  • 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

  • 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)

  • M1498

    Diagnostic radiology mips value pathway

  • M1499

    Interventional radiology mips value pathway