What is HCPCS code M1264?

M1264 is the HCPCS Level II code for Patients age 75 or older on their initiation of dialysis date. It falls in Section M (Medical Services) of the 2026 HCPCS Level II code set maintained by CMS.

Is M1264 covered by Medicare?

Medicare coverage status for M1264 is: Carrier judgment. Always confirm current coverage with the payer.

Under Medicare Part B, M1264 is priced as: Not separately priced by Part B.

M1264 Patients age 75 or older on their initiation of dialysis date

Short descriptor: Pts 75+ dialysis dt

⚠ Terminated HCPCS Level II 2026

Terminated Code

M1264 was terminated as of 2024-12-31 and should not be reported for dates of service after that date. This page is retained for historical reference.

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M1264 is the HCPCS Level II code for Patients age 75 or older on their initiation of dialysis date (2026). It belongs to Section M — Medical Services. Under Medicare, its coverage status is: Carrier judgment. Part B pricing methodology: Not separately priced by Part B.

Classification & CMS Attributes

Section: M: Medical Services
Medicare Coverage: Carrier judgment (code C)
Part B Pricing: Not separately priced by Part B (indicator 00)
Type of Service: Medical care
Effective Date: 2025-01-01
Termination Date: 2024-12-31
2026 Maintenance: No change this year

References

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Reference M1264 with the canonical source and edition:

M1264 — Patients age 75 or older on their initiation of dialysis date. ICD-10 Coding Pro (HCPCS Level II 2026). https://icd10codingpro.com/hcpcs-codes/M1264

Canonical URL: https://icd10codingpro.com/hcpcs-codes/M1264

M1264 Patients age 75 or older on their initiation of dialysis date

Classification & CMS Attributes

References

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