HCPCS Code Details - M1037

HCPCS Level II Code
Medical services
HCPCS Code M1037
Description

Long description:
Patients with a diagnosis of lumbar spine region cancer at the time of the procedure

Short description:
Pt dx lum sp reg cacr

HCPCS Modifier1
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 A - Add procedure or modifier code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2019
Date added Added Jan 01, 2019
HCPCS Coding Procedures

HCPCS Modifiers

In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
NU” identifies the hospital bed as new equipment

See also

  • 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

  • HCPCS G9202 · Patients with a positive hepatitis c antibody test

  • HCPCS G9535 · Patients with a normal neurological examination

  • HCPCS G9711 · Patients with a diagnosis or past history of total colectomy or colorectal cancer

  • HCPCS G9799 · Patients with a medication dispensing event indicator of a history of asthma any time during the patient's history through the end of the measure period

  • HCPCS 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

  • HCPCS M1038 · Patients with a diagnosis of lumbar spine region fracture at the time of the procedure

  • HCPCS M1039 · Patients with a diagnosis of lumbar spine region infection at the time of the procedure

  • HCPCS M1040 · Patients with a diagnosis of lumbar idiopathic or congenital scoliosis


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”