HCPCS Code Details - M1202

HCPCS Level II Code
Medical services
HCPCS Code M1202
Description

Long description:
Documentation of patient reason(s) for not prescribing ace inhibitor or arb therapy during the measurement period, (e.g., patient declined, other patient reasons)

Short description:
Pt rsn no ace-i/arb rx

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, 2023
Date added Added Jan 01, 2023
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 M1201 · Documentation of medical reason(s) for not prescribing ace inhibitor (ace-i) or arb therapy during the measurement period (e.g., pregnancy, history of angioedema to ace-i, other allergy to ace-i and arb, hyperkalemia or history of hyperkalemia while on ace-i or arb therapy, acute kidney injury due to ace-i or arb therapy), other medical reasons)

  • HCPCS G0921 · Documentation of patient reason(s) for not being able to assess (e.g., patient refuses endoscopic and/or radiologic assessment)

  • HCPCS G2094 · Documentation of patient reason(s) for not prescribing ace inhibitor or arb or arni therapy (e.g., patient declined, other patient reasons)

  • HCPCS G8706 · Documentation of patient reason(s) for not performing a 12-lead electrocardiogram (ecg)

  • HCPCS G8866 · Documentation of patient reason(s) for not administering or previously receiving pneumococcal vaccine (e.g., patient refusal)

  • HCPCS G8949 · Documentation of patient reason(s) for patient not receiving counseling for diet and physical activity (e.g., patient is not willing to discuss diet or exercise interventions to help control blood pressure, or the patient said he/she refused to make these changes)

  • HCPCS G8969 · Documentation of patient reason(s) for not prescribing an oral anticoagulant that is fda approved for the prevention of thromboembolism (e.g., patient preference for not receiving anticoagulation)

  • HCPCS G9191 · Documentation of patient reason(s) for not prescribing beta-blocker therapy (eg, patient declined, other patient reasons)

  • HCPCS G9250 · Documentation of patient pain brought to a comfortable level within 48 hours from initial assessment

  • HCPCS G9251 · Documentation of patient with pain not brought to a comfortable level within 48 hours from initial assessment

  • HCPCS G9254 · Documentation of patient discharged to home later than post-operative day 2 following cas

  • HCPCS G9255 · Documentation of patient discharged to home no later than post operative day 2 following cas

  • HCPCS G9256 · Documentation of patient death following cas

  • HCPCS G9257 · Documentation of patient stroke following cas

  • HCPCS G9258 · Documentation of patient stroke following cea

  • HCPCS G9259 · Documentation of patient survival and absence of stroke following cas

  • HCPCS M1203 · Ace inhibitor or arb therapy not prescribed during the measurement period, reason not given


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”