HCPCS Code Section: HCPCS M Codes

Aspirin or another antiplatelet therapy not used, reason not given Short Description: Aspirin not used, no rsn Coverage Code: Carrier judgment Action Code: No maintenance for this code Date …

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 …

Ongoing care not indicated, patient seen only 1-2 visits (e.g., home program only, referred to another provider or facility, consultation only) Short Description: Oc ni pt 1-2 vis Coverage …

Documentation stating patient has a diagnosis of a degenerative neurological condition such as als, ms, or parkinson’s diagnosed at any time before or during the episode of care Short …

The start of an episode of care documented in the medical record Short Description: Start eoc doc med rec Coverage Code: Carrier judgment Action Code: Add procedure or modifier …