M1264 HCPCS Level II code: Patients age 75 or older on their initiation of dialysis date
CMS terminated M1264: its last date of service was Dec 31, 2024. It stays here for looking up older claims; newer services need a current code.
Official description
M1264Patients age 75 or older on their initiation of dialysis date
Short description: Pts 75+ dialysis dt
HCPCS · United States
Medicare details
The indicators CMS publishes with M1264 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
- Terminated after
- Dec 31, 2024
Where M1264 sits
- 1M codesMedical services and quality measures
- 2Terminated M1264Patients age 75 or older on their initiation of dialysis date
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
Is HCPCS code M1264 still valid?
No. CMS terminated M1264; its last date of service was Dec 31, 2024. It is listed for looking up services from before then. Use a current code for newer services.
Does Medicare cover M1264?
CMS lists M1264’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 M1264
All M codesM1258Cvd 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 dialysisM1263Patients in hospice on their initiation of dialysis date or during the month of evaluationM1265Cms 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 monthM1270Patients not on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement period