HCPCS Code 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
Short DescriptionNo doc of fall or poc
Year2026
Coverage CodeC = Carrier judgment
Action CodeA = Add procedure or modifier code
Action Effective DateJanuary 01, 2026
Code Added DateJanuary 01, 2026
Pricing Indicator00 = Service not separately priced by Part B (e.g., services not covered, bundled, used by part a only, etc.)
Type of Service1 = Medical care