HCPCS Code Section: HCPCS M Codes

Documentation stating patient has a diagnosis of a degenerative neurological condition such as als, ms, or parkinson’s diagnosed at any time before or during the episode of care Short …

Emergent cases Short Description: Emerge cases Coverage Code: Carrier judgment Action Code: Add procedure or modifier code Date Added: January 1, 2020 Effective Date: January 1, 2020 Termination Date:

The start of an episode of care documented in the medical record Short Description: Start eoc doc med rec Coverage Code: Carrier judgment Action Code: Add procedure or modifier …

Functional status was not measured by the oxford knee score (oks) at one year (9 to 15 months) postoperatively Short Description: Fs no oks Coverage Code: Carrier judgment Action …

Ongoing care not indicated, patient self-discharged early and seen only 1-2 visits (e.g., financial or insurance reasons, transportation problems, or reason unknown) Short Description: Oc ni pt selfdc 1-2 …

Ongoing care not indicated, patient discharged after only 1-2 visits due to specific medical events, documented in the medical record that make the treatment episode impossible such as the …

Ongoing care not indicated, patient self-discharged early and seen only 1-2 visits (e.g., financial or insurance reasons, transportation problems, or reason unknown) Short Description: Oc ni pt self dc …