M1263 HCPCS Level II code: Patients in hospice on their initiation of dialysis date or during the month of evaluation
M1263 is the HCPCS code for “Patients in hospice on their initiation of dialysis date or during the month of evaluation” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
M1263Patients in hospice on their initiation of dialysis date or during the month of evaluation
Short description: Pts hosp dialysis dt
HCPCS · United States
Medicare details
The indicators CMS publishes with M1263 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, 2024
Where M1263 sits
- 1M codesMedical services and quality measures
- 2Active code M1263Patients in hospice on their initiation of dialysis date or during the month of evaluation
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.
Frequently asked questions
What does HCPCS code M1263 mean?
M1263 is the HCPCS code for “Patients in hospice on their initiation of dialysis date or during the month of evaluation” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover M1263?
CMS lists M1263’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 M1263
All M codesM1257Cvd risk assessment not performed or incomplete (e.g., cvd risk assessment was not documented), reason not otherwise specifiedM1258Cvd risk assessment performed, have a documented calculated risk scoreM1259Patient status documented within the first year of initiating dialysisM1260Patient status not documented within the first year of initiating dialysisM1261Patients that were on the kidney or kidney-pancreas waitlist prior to initiation of dialysisM1262Patients who had a transplant prior to initiation of dialysisM1264Patients age 75 or older on their initiation of dialysis dateM1265Cms medical evidence form 2728 for dialysis patients: initial form completedM1266Patients admitted to a skilled nursing facility (snf)M1267Patients not observed in active status on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement periodM1268Patients observed in active status on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement periodM1269Receiving esrd mcp dialysis services by the provider on the last day of the reporting month