M1159 — Hospice services provided to patient any time during the measurement period
M1159 is a HCPCS Level II code for hospice services provided to patient any time during the measurement period. It belongs to the Medical Services section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Carrier judgment
Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Physician fee schedule statusM
Measurement code. Used for reporting purposes only; never paid.
Global period: XXX
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The CMS record for M1159
- Long descriptor
- Hospice services provided to patient any time during the measurement period
- Short descriptor
- Hospc serv dur meas pd
- Added
- January 1, 2023
- BETOS
- Z2
- Pricing indicator
- 00 — Not priced by Part B
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Service not separately priced by Part B — not covered, bundled into another service, or used by Part A only.
Codes adjacent to M1159
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If M1159 is not quite right, the correct code is very often within a few positions of it.
- M1151Patients with a history of heart transplant or with a left ventricular assist device (lvad)
- M1152Patients with a history of heart transplant or with a left ventricular assist device (lvad)
- M1153Patient with diagnosis of osteoporosis on date of encounter
- M1154Hospice services provided to patient any time during the measurement periodterminated
- M1155Patient had anaphylaxis due to the pneumococcal vaccine any time during or before the measurement periodterminated
- M1156Patient received active chemotherapy any time during the measurement periodterminated
- M1157Patient received bone marrow transplant any time during the measurement periodterminated
- M1158Patient had history of immunocompromising conditions prior to or during the measurement periodterminated
- M1160Patient had anaphylaxis due to the meningococcal vaccine any time on or before the patient's 13th birthday
- M1161Patient had anaphylaxis due to the tetanus, diphtheria or pertussis vaccine any time on or before the patient's 13th birthday
- M1162Patient had encephalitis due to the tetanus, diphtheria or pertussis vaccine any time on or before the patient's 13th birthday
- M1163Patient had anaphylaxis due to the hpv vaccine any time on or before the patient's 13th birthday
- M1164Patients with dementia any time during the patient's history through the end of the measurement period
- M1165Patients who use hospice services any time during the measurement period
- M1166Pathology report for tissue specimens produced from wide local excisions or re-excisions
- M1167In hospice or using hospice services during the measurement period
Questions about M1159
What is HCPCS code M1159?
M1159 is a HCPCS Level II code for hospice services provided to patient any time during the measurement period. It sits in the Medical Services section.
Does Medicare cover M1159?
The CMS HCPCS file marks M1159 as "Carrier judgment". Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
How is M1159 paid under the physician fee schedule?
M1159 carries PFS status code M. Measurement code. Used for reporting purposes only; never paid.