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M1496

No doc of fall or poc

Patients that had a fall who did not have a plan of care for falls documented or do not have documentation of being assessed for falls

Code system
HCPCS Level II
Status
Active
Billable
Yes
In effect from
2026-01-01
Request
curl https://api.healthcare.dev/v1/codes/hcpcs/M1496 \
  -H "Authorization: Bearer $HDEV_API_KEY"
200 OK · application/json
{
  "data": {
    "code": "M1496",
    "parent": null,
    "status": "active",
    "system": "hcpcs",
    "display": "No doc of fall or poc",
    "billable": true,
    "attributes": {
      "betos": "Z2",
      "coverage": "C",
      "action_code": "N",
      "type_of_service": "1",
      "pricing_indicator": "00",
      "action_effective_date": "2026-01-01"
    },
    "description": "Patients that had a fall who did not have a plan of care for falls documented or do not have documentation of being assessed for falls",
    "replaced_by": [],
    "effective_end": null,
    "effective_start": "2026-01-01",
    "care_categories": [],
    "care_category_details": []
  },
  "meta": {
    "source": "cms-hcpcs",
    "data_version": "2026-10"
  }
}

CMS attributes

M1496 in the HCPCS file

betos
Z2
coverage
C
action code
N
type of service
1
pricing indicator
00
action effective date
2026-01-01

Change history

Lifecycle

M1496 has been in effect since 2026-01-01. 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

Look up M1496 from code or an agent

curl
curl https://api.healthcare.dev/v1/codes/hcpcs/M1496 \
  -H "Authorization: Bearer $HDEV_API_KEY"
MCP prompt
Using the healthcare.dev MCP server, look up HCPCS Level II code M1496. 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.