HCPCS Code M1035

Adults who are deliberately phased out of medication assisted treatment (mat) prior to 180 days of continuous treatment
Code effective Jan 01, 2019

HCPCS Section
Medical services

M1035 is a valid 2026 HCPCS code meaning Adults who are deliberately phased out of medication assisted treatment (mat) prior to 180 days of continuous treatment or (Adt pd out mat pr 180 dys tx) for short. HCPCS M1035 has been effective since 01/01/2019 and applies to Medical care.


HCPCS Code Details - M1035

HCPCS Level II Code
Section M - Medical services
HCPCS Code M1035
Description

Long description:
Adults who are deliberately phased out of medication assisted treatment (mat) prior to 180 days of continuous treatment

Short description:
Adt pd out mat pr 180 dys tx

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, 2019
Date added Added Jan 01, 2019

See also

  • HCPCS M1034 · Adults who have at least 180 days of continuous pharmacotherapy with a medication prescribed for oud without a gap of more than seven days

  • HCPCS M1068 · Adults who are not ambulatory

  • HCPCS M1036 · Adults who have not had at least 180 days of continuous pharmacotherapy with a medication prescribed for oud without a gap of more than seven days

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.