HCPCS Code Section: HCPCS M Codes

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: …

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

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 …

Hospice services for patient provided any time during the measurement period Short Description: Hspc pt prv time meam per Coverage Code: Carrier judgment Action Code: No maintenance for this …

Patient had cancer, fracture or infection related to the lumbar spine or patient had idiopathic or congenital scoliosis Short Description: Pt w/cancer scoliosis Coverage Code: Carrier judgment Action Code: …

Shingrix vaccine not documented as administered, reason not given Short Description: Shing vac no doc no rsn Coverage Code: Carrier judgment Action Code: No maintenance for this code Date …