HCPCS Code M0004

Quality care for patients with neurological conditions mips value pathway
Code effective Jan 01, 2025

HCPCS Section
Medical services

M0004 is a valid 2026 HCPCS code meaning Quality care for patients with neurological conditions mips value pathway or (Qual care neurologic cnd mvp) for short. HCPCS M0004 has been effective since 01/01/2025 and applies to Medical care.


HCPCS Code Details - M0004

HCPCS Level II Code
Section M - Medical services
HCPCS Code M0004
Description

Long description:
Quality care for patients with neurological conditions mips value pathway

Short description:
Qual care neurologic cnd mvp

HCPCS Pricing indicator 00 - Physician Fee Schedule And Non-Physician Practitioners - Service not separately priced by part B (e.g., services not covered, bundled, used by Part A only, etc.)
Multiple pricing indicator 9 - Not applicable as HCPCS not priced separately by part B or value is not established
Coverage code C - Carrier judgment
BETOS2 code Z2 - Undefined codes
HCPCS Action code N - No maintenance for this code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2025
Date added Added Jan 01, 2023

See also

  • HCPCS M0003 · Optimal care for patients with episodic neurological conditions mips value pathways

  • HCPCS M1367 · Quality care for the treatment of ear, nose, and throat disorders mips value pathway

  • HCPCS M0005 · Value in primary care mips value pathway

1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”


HCPCS Level II codes and descriptors are approved and maintained jointly by the alpha-numeric editorial panel (consisting of CMS, the Health Insurance Association of America, and the Blue Cross and Blue Shield Association). — Updated 6/23/2026

CPT® is a registered trademark of the American Medical Association (AMA). All rights reserved.