HCPCS Code Details - M1423

HCPCS Level II Code
Medical services
HCPCS Code M1423
Description

Long description:
Optimal care for patients with urologic conditions mips value pathway

Short description:
Opt care urologic cnd mvp

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, 2025
Date added Added Jan 01, 2025
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 M1422 · Gastroenterology care mips value pathway

  • HCPCS M0002 · Optimal care for kidney health mips value pathways

  • HCPCS M0003 · Optimal care for patients with episodic neurological conditions mips value pathways

  • HCPCS M1424 · Pulmonology care mips value pathway


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”