Pt 66+ frail inpt adv ill
Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and an advanced illness diagnosis during the measurement period or the year prior to the measurement period
curl https://api.healthcare.dev/v1/codes/hcpcs/M1292 \ -H "Authorization: Bearer $HDEV_API_KEY"
{
"data": {
"code": "M1292",
"parent": null,
"status": "active",
"system": "hcpcs",
"display": "Pt 66+ frail inpt adv ill",
"billable": true,
"attributes": {
"betos": "Z2",
"coverage": "C",
"action_code": "N",
"type_of_service": "1",
"pricing_indicator": "00",
"action_effective_date": "2025-01-01"
},
"description": "Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and an advanced illness diagnosis during the measurement period or the year prior to the measurement period",
"replaced_by": [],
"effective_end": null,
"effective_start": "2024-01-01",
"care_categories": [],
"care_category_details": []
},
"meta": {
"source": "cms-hcpcs",
"data_version": "2026-10"
}
}CMS attributes
Change history
M1292 has been in effect since 2024-01-01. This page shows HCPCS Level II release 2026-10.
Add as_of=YYYY-MM-DD to the request to get this code exactly as it was on a past date. The change feed (GET /v1/changes) lists what each release added, changed or retired across the whole dataset; a per-code change list isn't published yet.
Use it
curl https://api.healthcare.dev/v1/codes/hcpcs/M1292 \ -H "Authorization: Bearer $HDEV_API_KEY"
Using the healthcare.dev MCP server, look up HCPCS Level II code M1292. Tell me what it covers, whether it is active and since when, and any CMS attributes it has.
Source: CMS, release 2026-10. Public domain (D-series CDT codes excluded). Reference data, not medical or billing advice.