HCPCS Code Section: HCPCS M Codes

Prolotherapy Short Description: Prolotherapy Coverage Code: Non-covered by Medicare Action Code: No maintenance for this code Date Added: January 1, 1986 Effective Date: January 1, 1996 Termination Date:

Cellular therapy Short Description: Cellular therapy Coverage Code: Non-covered by Medicare Action Code: No maintenance for this code Date Added: January 1, 1986 Effective Date: January 1, 1996 Termination …

Discharge/discontinuation of the episode of care documented in the medical record Short Description: Dc eoc doc med rec Coverage Code: Carrier judgment Action Code: Change in long description of …

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

Discharge/discontinuation of the episode of care documented in the medical record Short Description: Dc eoc doc med rec Coverage Code: Carrier judgment Action Code: Change in long description of …

>=50% of total number of a patient’s outpatient ra encounters assessed Short Description: >=50% total pt outpt ra enct Coverage Code: Carrier judgment Action Code: No maintenance for this …

Disease activity not assessed, reason not given Short Description: Dz not ases, no rsn Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, …

Tb screening not performed or results not interpreted, reason not given Short Description: Tb scr no perf Coverage Code: Carrier judgment Action Code: No maintenance for this code Date …

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 …