HCPCS Code M1497
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)
| Short Description | No doc fall med rsn |
|---|---|
| Year | 2026 |
| Coverage Code | C = Carrier judgment |
| Action Code | A = Add procedure or modifier code |
| Action Effective Date | January 01, 2026 |
| Code Added Date | January 01, 2026 |
| Pricing Indicator | 00 = Service not separately priced by Part B (e.g., services not covered, bundled, used by part a only, etc.) |
| Type of Service | 1 = Medical care |