M1269 HCPCS Level II code: Receiving esrd mcp dialysis services by the provider on the last day of the reporting month
M1269 is the HCPCS code for “Receiving esrd mcp dialysis services by the provider on the last day of the reporting month” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
M1269Receiving esrd mcp dialysis services by the provider on the last day of the reporting month
Short description: Rec'd esrd mcp lst day of mo
HCPCS · United States
Medicare details
The indicators CMS publishes with M1269 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 M1269 sits
- 1M codesMedical services and quality measures
- 2Active code M1269Receiving esrd mcp dialysis services by the provider on the last day of the reporting month
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 M1269 mean?
M1269 is the HCPCS code for “Receiving esrd mcp dialysis services by the provider on the last day of the reporting month” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover M1269?
CMS lists M1269’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 M1269
All M codesM1263Patients in hospice on their initiation of dialysis date or during the month of evaluationM1264Patients 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 periodM1270Patients not on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement periodM1271Patients with dementia at any time prior to or during the monthM1272Patients observed on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement periodM1273Patients who were admitted to a skilled nursing facility (snf) within one year of dialysis initiation according to the cms-2728 formM1274Patients who were admitted to a skilled nursing facility (snf) during the month of evaluation were excluded from that monthM1275Patients determined to be in hospice were excluded from month of evaluation and the remainder of reporting period