M1492

M1492 — Patients who did not report a fall

HCPCSActiveBETOS Z2

M1492 is a HCPCS Level II code for patients who did not report a fall. 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

Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.

The CMS record for M1492

Long descriptor: Patients who did not report a fall
Short descriptor: No reported fall
Added: January 1, 2026
BETOS: Z2
Pricing indicator: 00 — Not priced by Part B

Codes adjacent to M1492

HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If M1492 is not quite right, the correct code is very often within a few positions of it.

M1484Patients who did not have a repeat hcv rna labs performed for medical reasons documented by clinician (e.g., patient with limited life expectancy, delay in treatment of hcv related to treatment of hiv, hbv, hepatocellular carcinoma, decompensated cirrhosis)
M1485Patients who did not achieve sustained virological response as identified by an hcv rna test (cpt 87522) or (cpt 87521) with a negative/undetectable hcv rna result that occurred 20 weeks to 12 months after the first positive/detectable hcv rna test result within the denominator identification period
M1486Patients admitted to a skilled nursing facility (snf) during the period of evaluation
M1487Patients in hospice in the year before or during the period of evaluation
M1488Patients with a diagnosis for dementia in the year before or during the period of evaluation
M1489Patient status documented
M1490Patient status not documented
M1491Receiving esrd mcp dialysis services by the provider during the performance period
M1493Documentation of falls not performed due to medical reasons (e.g., syncope, vertigo and related disorders, restless leg syndrome, tourette syndrome/tic disorder, back pain, concussion/mild traumatic brain injury (mtbi), cervical dystonia, or epilepsy)
M1494Patients that reported a fall since the last visit
M1495Patients that reported a fall occurred who had a plan of care for falls documented or patients that did not report a fall
M1496Patients 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
M1497Documentation of falls not performed due to medical reasons (e.g., syncope, vertigo and related disorders, restless leg syndrome, tourette syndrome/tic disorder, back pain, concussion/mild traumatic brain injury (mtbi), cervical dystonia, or epilepsy)
M1498Diagnostic radiology mips value pathway
M1499Interventional radiology mips value pathway
M1500Neuropsychology mips value pathway

Questions about M1492

What is HCPCS code M1492?

M1492 is a HCPCS Level II code for patients who did not report a fall. It sits in the Medical Services section.

Does Medicare cover M1492?

The CMS HCPCS file marks M1492 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 M1492 paid under the physician fee schedule?

M1492 carries PFS status code M. Measurement code. Used for reporting purposes only; never paid.