M1154 — Hospice services provided to patient any time during the measurement period
M1154 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. It was terminated on December 31, 2024 and is not valid on new claims.
This code has been terminated
CMS terminated M1154 on December 31, 2024. It stays in the file as history — a claim you are auditing from before that date may legitimately carry it — but it must not appear on a new claim. The adjacent codes below are the usual place to look for its replacement.
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.
The CMS record for M1154
- Long descriptor
- Hospice services provided to patient any time during the measurement period
- Short descriptor
- Hospc serv dur meas pd
- Added
- January 1, 2023
- Terminated
- December 31, 2024
- 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.
When CMS retired it.
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 M1154
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If M1154 is not quite right, the correct code is very often within a few positions of it.
- M1146Ongoing 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
- M1147Ongoing 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
- M1148Ongoing care not possible because the patient self-discharged early (e.g., financial or insurance reasons, transportation problems, or reason unknown)
- M1149Patient unable to complete the neck fs prom at initial evaluation and/or discharge due to blindness, illiteracy, severe mental incapacity or language incompatibility, and an adequate proxy is not available
- M1150Current or prior left ventricular ejection fraction (lvef) less than or equal to 40% or documentation of moderately or severely depressed left ventricular systolic function
- 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
- 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
- M1159Hospice services provided to patient any time during the measurement period
- 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
Questions about M1154
What is HCPCS code M1154?
M1154 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 M1154?
The CMS HCPCS file marks M1154 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.
Is M1154 still valid?
No. M1154 was terminated on December 31, 2024 and should not be used on new claims.