HCPCS Code Section: HCPCS M Codes

Prescribed anticoagulant medication during the performance period, history of gi bleeding, history of intracranial bleeding, bleeding disorder and specific provider documented reasons: allergy to aspirin or anti-platelets, use of …

Aspirin or another antiplatelet therapy used Short Description: Aspirin used Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2019 Effective Date: January …

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 …

Leg pain was measured by the visual analog scale (vas) within three months preoperatively and at one year (9 to 15 months) postoperatively Short Description: Pre and post vas …

Adults who are not ambulatory Short Description: Pt not ambulatory Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2019 Effective Date: January …

Leg pain was not measured by the visual analog scale (vas) at one year (9 to 15 months) postoperatively Short Description: Lg pn not meas w/ vas 1yr po …

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: …