M1067 — Hospice services for patient provided any time during the measurement period
M1067 is a HCPCS Level II code for hospice services for patient provided 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 M1067
- Long descriptor
- Hospice services for patient provided any time during the measurement period
- Short descriptor
- Hspc pt prv time meam per
- Added
- January 1, 2019
- 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 M1067
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If M1067 is not quite right, the correct code is very often within a few positions of it.
- M1059Patient was in hospice or receiving palliative care at any time during the performance period
- M1060Patient died prior to the end of the performance period
- M1061Patient pregnancyterminated
- M1062Patient immunocompromisedterminated
- M1063Patients receiving high doses of immunosuppressive therapyterminated
- M1064Shingrix vaccine documented as administered or previously receivedterminated
- M1065Shingrix vaccine was not administered for reasons documented by clinician (e.g. patient administered vaccine other than shingrix, patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons)terminated
- M1066Shingrix vaccine not documented as administered, reason not giventerminated
- M1068Adults who are not ambulatory
- M1069Patient screened for future fall risk
- M1070Patient not screened for future fall risk, reason not given
- M1071Patient had any additional spine procedures performed on the same date as the lumbar discectomy/laminotomyterminated
- M1106The start of an episode of care documented in the medical record
- M1107Documentation stating patient has a diagnosis of a degenerative neurological condition such as als, ms, or parkinson's diagnosed at any time before or during the episode of care
- M1108Ongoing care not clinically indicated because the patient needed a home program only, referral to another provider or facility, or consultation only, as documented in the medical record
- M1109Ongoing care not medically possible because the patient was discharged early due to specific medical events, documented in the medical record, such as the patient became hospitalized or scheduled for surgery
Questions about M1067
What is HCPCS code M1067?
M1067 is a HCPCS Level II code for hospice services for patient provided any time during the measurement period. It sits in the Medical Services section.
Does Medicare cover M1067?
The CMS HCPCS file marks M1067 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 M1067 paid under the physician fee schedule?
M1067 carries PFS status code M. Measurement code. Used for reporting purposes only; never paid.