HCPCS M-Codes
Medical services

  • M0064

    Brief office visit for the sole purpose of monitoring or changing drug prescriptions used in the treatment of mental psychoneurotic and personality disorders

  • M0075

    Cellular therapy

  • M0076

    Prolotherapy

  • M0100

    Intragastric hypothermia using gastric freezing

  • M0300

    Iv chelation therapy (chemical endarterectomy)

  • M0301

    Fabric wrapping of abdominal aneurysm

  • M1000

    Pain screened as moderate to severe   New

  • M1001

    Plan of care to address moderate to severe pain documented on or before the date of the second visit with a clinician   New

  • M1002

    Plan of care for moderate to severe pain not documented on or before the date of the second visit with a clinician, reason not given   New

  • M1003

    Tb screening performed and results interpreted within twelve months prior to initiation of first-time biologic disease modifying anti-rheumatic drug therapy for ra   New
  • Continued

  • M1004

    Documentation of medical reason for not screening for tb or interpreting results (i.e., patient positive for tb and documentation of past treatment; patient who has recently completed a course of anti-tb therapy)   New

  • M1005

    Tb screening not performed or results not interpreted, reason not given   New

  • M1006

    Disease activity not assessed, reason not given   New

  • M1007

    >=50% of total number of a patient's outpatient ra encounters assessed   New

  • M1008

    <50% of total number of a patient's outpatient ra encounters assessed   New

  • M1009

    Patient treatment and final evaluation complete   New

  • M1010

    Patient treatment and final evaluation complete   New

  • M1011

    Patient treatment and final evaluation complete   New

  • M1012

    Patient treatment and final evaluation complete   New

  • M1013

    Patient treatment and final evaluation complete   New

  • M1014

    Patient treatment and final evaluation complete   New

  • M1015

    Patient treatment and final evaluation complete   New

  • M1016

    Female patients unable to bear children   New

  • M1017

    Patient admitted to palliative care services   New

  • M1018

    Patients with an active diagnosis or history of cancer (except basal cell and squamous cell skin carcinoma), patients who are heavy tobacco smokers, lung cancer screening patients   New

  • M1019

    Adolescent patients 12 to 17 years of age with major depression or dysthymia who reached remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or phq-9m score of less than 5   New

  • M1020

    Adolescent patients 12 to 17 years of age with major depression or dysthymia who did not reach remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or phq-9m score of less than 5. either phq-9 or phq-9m score was not assessed or is greater than or equal to 5   New

  • M1021

    Patient had only urgent care visits during the performance period   New

  • M1022

    Patients who were in hospice at any time during the performance period   New

  • M1023

    Adolescent patients 12 to 17 years of age with major depression or dysthymia who reached remission at six months as demonstrated by a six month (+/-60 days) phq-9 or phq-9m score of less than five   New
  • Continued

  • M1024

    Adolescent patients 12 to 17 years of age with major depression or dysthymia who did not reach remission at six months as demonstrated by a six month (+/-60 days) phq-9 or phq-9m score of less than five. either phq-9 or phq-9m score was not assessed or is greater than or equal to five   New

  • M1025

    Patients who were in hospice at any time during the performance period   New

  • M1026

    Patients who were in hospice at any time during the performance period   New

  • M1027

    Imaging of the head (ct or mri) was obtained   New

  • M1028

    Documentation of patients with primary headache diagnosis and imaging other than ct or mri obtained   New

  • M1029

    Imaging of the head (ct or mri) was not obtained, reason not given   New

  • M1030

    Patients with clinical indications for imaging of the head   New

  • M1031

    Patients with no clinical indications for imaging of the head   New

  • M1032

    Adults currently taking pharmacotherapy for oud   New

  • M1033

    Pharmacotherapy for oud initiated after june 30th of performance period   New

  • 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   New

  • M1035

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

  • 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   New

  • M1037

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

  • M1038

    Patients with a diagnosis of lumbar spine region fracture at the time of the procedure   New

  • M1039

    Patients with a diagnosis of lumbar spine region infection at the time of the procedure   New

  • M1040

    Patients with a diagnosis of lumbar idiopathic or congenital scoliosis   New

  • M1041

    Patient had cancer, fracture or infection related to the lumbar spine or patient had idiopathic or congenital scoliosis   New

  • M1042

    Functional status measurement with score was obtained utilizing the oswestry disability index (odi version 2.1a) patient reported outcome tool within three months preoperatively and at one year (9 to 15 months) postoperatively   New

  • M1043

    Functional status measurement with score was not obtained utilizing the oswestry disability index (odi version 2.1a) patient reported outcome tool within three months preoperatively and at one year (9 to 15 months) postoperatively   New