HCPCS Code Details - M1254

HCPCS Level II Code
Medical services
HCPCS Code M1254
Description

Long description:
Patients who were deceased when the hu survey reached them

Short description:
Pts deceased prior hu surv

HCPCS Modifier1
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 A - Add procedure or modifier code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2024
Date added Added Jan 01, 2024
HCPCS Coding Procedures

HCPCS Modifiers

In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
NU” identifies the hospital bed as new equipment

See also

  • HCPCS M1253 · Patients who respond on the patient experience hu survey that they did not receive care by the listed ambulatory palliative care provider in the last 60 days (disavowal)

  • HCPCS G9448 · Patients who were born in the years 1945 to 1965

  • HCPCS G9897 · Patients who were not prescribed/administered androgen deprivation therapy in combination with external beam radiotherapy to the prostate, reason not given

  • HCPCS M1022 · Patients who were in hospice at any time during the performance period

  • HCPCS M1025 · Patients who were in hospice at any time during the performance period

  • HCPCS M1026 · Patients who were in hospice at any time during the performance period

  • HCPCS M1260 · Patients who were not listed on the kidney-pancreas transplant waitlist or patients who did not receive a living donor transplant within the first year following initiation of dialysis

  • HCPCS M1273 · Patients who were admitted to a skilled nursing facility (snf) within one year of dialysis initiation according to the cms-2728 form

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

  • HCPCS M1321 · Patients who were not seen within 7 weeks following the date of injection for follow up or who did not have a documented iop or no plan of care documented if the iop was >25 mm hg

  • HCPCS M1325 · Patients who were not seen for reasons documented by clinician for patient or medical reasons (e.g., inadequate time for follow-up, patients who received a prior intravitreal or periocular steroid injection within the last six (6) months and had a subsequent iop evaluation with iop <25mm hg within seven (7) weeks of treatment)

  • HCPCS M1327 · Patients who were not appropriately evaluated during the initial exam and/or who were not re-evaluated within 8 weeks

  • HCPCS M1331 · Patients who were appropriately evaluated during the initial exam and were re-evaluated no later than 8 weeks from initial exam

  • HCPCS M1332 · Patients who were not appropriately evaluated during the initial exam and/or who were not re-evaluated within 2 weeks

  • HCPCS M1336 · Patients who were appropriately evaluated during the initial exam and were re-evaluated no later than 2 weeks

  • HCPCS M1255 · Patients who have another reason for visiting the clinic [not prenatal or postpartum care] and have a positive pregnancy test but have not established the clinic as an ob provider (e.g., plan to terminate the pregnancy or seek prenatal services elsewhere)


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”