HCPCS Code Section: HCPCS M Codes

Functional status measured by the oxford knee score (oks) at one year (9 to 15 months) postoperatively was greater than or equal to 37 Short Description: Fs oks 9-15mo …

Functional status was measured by the oswestry disability index (odi version 2.1a) patient reported outcome tool within three months preoperatively and at one year (9 to 15 months) postoperatively …

Functional status was not measured by the oswestry disability index (odi version 2.1a) at one year (9 to 15 months) postoperatively Short Description: Fs no odi 9-15mo Coverage Code: …

Functional status measurement with score was obtained utilizing the oswestry disability index (odi version 2.1a) patient reported outcome tool within three months preoperatively and at one year (9 to …

Patient had cancer, fracture or infection related to the lumbar spine or patient had idiopathic or congenital scoliosis Short Description: Pt cr ft inf lm or pt id sl …

Patients with a diagnosis of lumbar idiopathic or congenital scoliosis Short Description: Pt dx lum idi or cong scol Coverage Code: Carrier judgment Action Code: No maintenance for this …

Patients with a diagnosis of lumbar spine region infection at the time of the procedure Short Description: Pt dx lum sp reg inf Coverage Code: Carrier judgment Action Code: …

Patient not screened for future fall risk, reason not given Short Description: Pt not scrn fut fall no rsn 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: …

Patient screened for future fall risk Short Description: Pt scr ft fall rsk Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2019 …