HCPCS Code Section: HCPCS M Codes

Adolescent patients 12 to 17 years of age with major depression or dysthymia who reached remission at six months as demonstrated by a six month (+/-60 days) phq-9 or …

Patients who were in hospice at any time during the performance period Short Description: Pt hospice during perf pd Coverage Code: Carrier judgment Action Code: No maintenance for this …

Patient had only urgent care visits during the performance period Short Description: Pt uc in pp Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: …

Adolescent patients 12 to 17 years of age with major depression or dysthymia who did not reach remission at twelve months as demonstrated by a twelve month (+/-60 days) …

Adolescent patients 12 to 17 years of age with major depression or dysthymia who reached remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or …

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 Short Description: …

Patient admitted to palliative care services Short Description: Pt admt to palitve serv Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2019 …

Female patients unable to bear children Short Description: Pt dx meop or sur steri Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, …

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 …

Patients with clinical indications for imaging of the head Short Description: Pt clin ind img hd Coverage Code: Carrier judgment Action Code: Discontinue procedure or modifier code Date Added: …