HCPCS Code 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
Code effective Jan 01, 2019

HCPCS Section
Medical services

M1036 is a valid 2026 HCPCS code meaning 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 or (Adt no 180 dys pharmthry oud) for short. HCPCS M1036 has been effective since 01/01/2019 and applies to Medical care.

HCPCS Code Details - M1036
HCPCS Level II Code Section M - Medical services
HCPCS Code	`M1036`
Description	Long description: 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 Short description: Adt no 180 dys pharmthry oud
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

HCPCS Code M1036

HCPCS Code Details - M1036

See also

HCPCS M1035 · Adults who are deliberately phased out of medication assisted treatment (mat) prior to 180 days of continuous treatment

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 M1037 · Patients with a diagnosis of lumbar spine region cancer at the time of the procedure