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M1069 HCPCS Level II code: Patient screened for future fall risk

M1069 is the HCPCS code for “Patient screened for future fall risk” in CMS’s October 2026 release, in effect from Oct 1, 2026.

Official description

M1069

Patient screened for future fall risk

Short description: Pt scr ft fall rsk

HCPCS · United States

Medicare details

The indicators CMS publishes with M1069 in its October 2026 file. They describe Medicare’s handling, not another payer’s.

Medicare coverage
Carrier judgment
Medicare pricing
Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)
Type of service
Medical care
BETOS category
Undefined codes
Added
Jan 1, 2019

Where M1069 sits

  1. 1M codesMedical services and quality measures
  2. 2Active code M1069Patient screened for future fall risk

Source and release

Data release
HCPCS Level II · October 2026
Effective date
Oct 1, 2026
Publisher
CMS

This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.

See M1069 in the CMS source

Frequently asked questions

What does HCPCS code M1069 mean?

M1069 is the HCPCS code for “Patient screened for future fall risk” in CMS’s HCPCS Level II October 2026 release.

Does Medicare cover M1069?

CMS lists M1069’s Medicare coverage as “Carrier judgment” and its pricing as “Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.

Which HCPCS Level II release does this page use?

It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.

Codes beside M1069

M1063Patients receiving high doses of immunosuppressive therapyM1064Shingrix vaccine documented as administered or previously receivedM1065Shingrix vaccine was not administered for reasons documented by clinician (e.g. patient administered vaccine other than shingrix, patient allergy or other medical reasons…M1066Shingrix vaccine not documented as administered, reason not givenM1067Hospice services for patient provided any time during the measurement periodM1068Adults who are not ambulatoryM1070Patient not screened for future fall risk, reason not givenM1071Patient had any additional spine procedures performed on the same date as the lumbar discectomy/laminotomyM1106The start of an episode of care documented in the medical recordM1107Documentation stating patient has a diagnosis of a degenerative neurological condition such as als, ms, or parkinson's diagnosed at any time before or during the episode of careM1108Ongoing care not clinically indicated because the patient needed a home program only, referral to another provider or facility, or consultation only, as documented in the medical…M1109Ongoing care not medically possible because the patient was discharged early due to specific medical events, documented in the medical record, such as the patient became…