M1472 — Patient did not receive recommended doses of hepatitis b vaccination based on age
M1472 is a HCPCS Level II code for patient did not receive recommended doses of hepatitis b vaccination based on age. 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 M1472
- Long descriptor
- Patient did not receive recommended doses of hepatitis b vaccination based on age
- Short descriptor
- Hep b vaccine not received
- Added
- January 1, 2026
- 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 M1472
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If M1472 is not quite right, the correct code is very often within a few positions of it.
- M1464No documentation of at least two attempts to follow up with patient within 180 days of treatment
- M1465Patient follow up more than 180 days after treatment
- M1466Patient had a lumbar fusion on the same date as the discectomy/laminectomy procedure
- M1467Patients with an existing diagnosis of lynch syndrome
- M1468Patient received recommended doses of hepatitis b vaccination based on age
- M1469Patient has a history of hepatitis b illness or received a hepatitis b surface antigen, hepatitis b surface antibody, or total antibody to hepatitis b core antigen test with a positive result any time before or during the measurement period
- M1470Documentation of medical reason(s) for not administering hepatitis b vaccine (e.g., prior anaphylaxis due to the hepatitis b vaccine)
- M1471Documentation that patient is a medicare fee-for-service beneficiary and without additional supplementary insurance coverage for whom hep b vaccination is not reimbursable under current medicare part b coverage rules
- M1473Patient situations, at any point during the denominator identification period, where the patient's functional capacity or motivation (or lack thereof) to improve may impact the accuracy of results of validated tools, such as delirium, dementia, intellectual disabilities, and pervasive and specific development disorders
- M1474Patients with diagnosis of dementia
- M1475Patients with diagnosis of huntington's disease
- M1476Patients with diagnosis of cognitive impairment or alzheimer's disease
- M1477Diagnosis of delirium
- M1478Psychoactive substance abuse
- M1479Patients whose functional capacity or motivation (or lack thereof) to improve may impact the accuracy of results of validated tools such as delirium, dementia, intellectual disabilities, and pervasive and specific development disorders
- M1480Patients whose functional capacity or motivation (or lack thereof) to improve may impact the accuracy of results of validated tools such as delirium, dementia, intellectual disabilities, and pervasive and specific development disorders
Questions about M1472
What is HCPCS code M1472?
M1472 is a HCPCS Level II code for patient did not receive recommended doses of hepatitis b vaccination based on age. It sits in the Medical Services section.
Does Medicare cover M1472?
The CMS HCPCS file marks M1472 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 M1472 paid under the physician fee schedule?
M1472 carries PFS status code M. Measurement code. Used for reporting purposes only; never paid.