HCPCS code M1292 — Pt 66+ frail inpt adv ill. Status: Active. Effective Jan 1, 2025. Source: CMS HCPCS Level II.

M1292

Active

Pt 66+ frail inpt adv ill

Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and an advanced illness diagnosis during the measurement period or the year prior to the measurement period

Category: Medical Services
Section: M-codes: Medical Services
Effective: Jan 1, 2025
Code type: alphanumeric
OPPS Status: M — Items / services not billable to the fiscal intermediary or MAC

Change History

Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.

  • New Code 2025-Q1
    Pt 66+ frail inpt adv ill