HCPCS code M1497 — No doc fall med rsn. Status: Active. Effective Jan 1, 2026. Source: CMS HCPCS Level II.

M1497

Active

No doc fall med rsn

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)

Category: Medical Services
Section: M-codes: Medical Services
Effective: Jan 1, 2026
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 2026-Q1
    No doc fall med rsn