Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period
M1291 is a valid 2024 HCPCS code for Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period or just “Pt 66+ frailty and med dem” for short, used in Medical care.
|HCPCS Level II Code
|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
C - Carrier judgment
Z2 - Undefined codes
|HCPCS Action code
A - Add procedure or modifier code
|Type of service
1 - Medical care
|Effective Jan 01, 2024
|Added Jan 01, 2024
|HCPCS Coding Procedures
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
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”