HCPCS Code Section: HCPCS M Codes

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

Adults who have not had at least 180 days of continuous pharmacotherapy with a medication prescribed for oud without a gap of more than seven days Short Description: Adt …

Adults who are deliberately phased out of medication assisted treatment (mat) prior to 180 days of continuous treatment Short Description: Adt pd out mat pr 180 dys tx Coverage …

Functional status was measured by the oswestry disability index (odi version 2.1a) patient reported outcome tool within three months preoperatively and at three months (6 to 20 weeks) postoperatively …

Adults who have at least 180 days of continuous pharmacotherapy with a medication prescribed for oud without a gap of more than seven days Short Description: Adt 180 dys …

Functional status was not measured by the oswestry disability index (odi version 2.1a) at three months (6 – 20 weeks) postoperatively Short Description: Fs wth scr no odi pre …

Pharmacotherapy for oud initiated after june 30th of performance period Short Description: Pharmthry for oud afr 6.30 Coverage Code: Carrier judgment Action Code: No maintenance for this code Date …

Shingrix vaccine documented as administered or previously received Short Description: Shing vac doc adm or pv rec Coverage Code: Carrier judgment Action Code: No maintenance for this code Date …

Patients receiving high doses of immunosuppressive therapy Short Description: Pt rec hg dos imsup thpy Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January …

Patient immunocompromised Short Description: Pt imcomprmd Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2019 Effective Date: January 1, 2019 Termination Date: