Showing codes M1357 (Patients who had a reduction in suicidal ideation and/or behavior upon follow-up assessment within 120 days of index assessment) — P1 (A normal healthy patient)

M1357 - Pt w/red suic idea 120 days
Long description: Patients who had a reduction in suicidal ideation and/or behavior upon follow-up assessment within 120 days of index assessment
Code added date: 20240101.
Code effective date: 20240101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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M1358 - Pts no
Long description: Patients who did not have a reduction in suicidal ideation and/or behavior upon follow-up assessment within 120 days of index assessment
Code added date: 20240101.
Code effective date: 20240101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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M1359 - Indx suicd idea, no 0 scr
Long description: Index assessment during the denominator period when the suicidal ideation and/or behavior symptoms or increased suicide risk by clinician determination occurs and a non-zero c-ssrs score is obtained
Code added date: 20240101.
Code effective date: 20240101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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M1360 - Suicd c-ssrs assessment
Long description: Suicidal ideation and/or behavior symptoms based on the c-ssrs
Code added date: 20240101.
Code effective date: 20240101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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M1361 - Suicd based cln eval
Long description: Suicide risk based on their clinician's evaluation or a clinician-rated tool
Code added date: 20240101.
Code effective date: 20240101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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M1362 - Pt died dur meas pd
Long description: Patients who died during the measurement period
Code added date: 20240101.
Code effective date: 20240101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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M1363 - Pts no f/u 120 dys
Long description: Patients who did not have a follow-up assessment within 120 days of the index assessment
Code added date: 20240101.
Code effective date: 20240101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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M1364 - Ascvd risk >=20pct
Long description: Calculated 10-year ascvd risk score of >= 20 percent during the performance period
Code added date: 20240101.
Code effective date: 20240101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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M1365 - Hosp+pall care spec code 17
Long description: Patient encounter during the performance period with hospice and palliative care specialty code 17
Code added date: 20240101.
Code effective date: 20240101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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M1366 - Focus on women's health mvp
Long description: Focusing on women's health mips value pathway
Code added date: 20240101.
Code effective date: 20240101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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M1367 - Qual care ent disorder mvp
Long description: Quality care for the treatment of ear, nose, and throat disorders mips value pathway
Code added date: 20240101.
Code effective date: 20240101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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M1368 - Prev trt inf d/o hiv/hep mvp
Long description: Prevention and treatment of infectious disorders including hepatitis c and hiv mips value pathway
Code added date: 20240101.
Code effective date: 20240101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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M1369 - Qualcare mental hlth/sud mvp
Long description: Quality care in mental health and substance use disorders mips value pathway
Code added date: 20240101.
Code effective date: 20240101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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M1370 - Rehab support msk care mvp
Long description: Rehabilitative support for musculoskeletal care mips value pathway
Code added date: 20240101.
Code effective date: 20240101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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M2 - Medicare secondary payer
Long description: Medicare secondary payer (msp)
Code added date: 20070101.
Code effective date: 20070101.
Coverage Code: C (A code denoting Medicare coverage status).
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MA - Emer med cond susp/confirm
Long description: Ordering professional is not required to consult a clinical decision support mechanism due to service being rendered to a patient with a suspected or confirmed emergency medical condition
Code added date: 20200101.
Code effective date: 20200101.
Coverage Code: C (A code denoting Medicare coverage status).
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MB - Auc hardship, insuf internet
Long description: Ordering professional is not required to consult a clinical decision support mechanism due to the significant hardship exception of insufficient internet access
Code added date: 20200101.
Code effective date: 20200101.
Coverage Code: C (A code denoting Medicare coverage status).
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MC - Auc hardship, vendor issues
Long description: Ordering professional is not required to consult a clinical decision support mechanism due to the significant hardship exception of electronic health record or clinical decision support mechanism vendor issues
Code added date: 20200101.
Code effective date: 20200101.
Coverage Code: C (A code denoting Medicare coverage status).
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MD - Auc hardship, extreme circ
Long description: Ordering professional is not required to consult a clinical decision support mechanism due to the significant hardship exception of extreme and uncontrollable circumstances
Code added date: 20200101.
Code effective date: 20200101.
Coverage Code: C (A code denoting Medicare coverage status).
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ME - Order adheres to auc
Long description: The order for this service adheres to appropriate use criteria in the clinical decision support mechanism consulted by the ordering professional
Code added date: 20200101.
Code effective date: 20200101.
Coverage Code: C (A code denoting Medicare coverage status).
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MF - Order does not adhere to auc
Long description: The order for this service does not adhere to the appropriate use criteria in the clinical decision support mechanism consulted by the ordering professional
Code added date: 20200101.
Code effective date: 20200101.
Coverage Code: C (A code denoting Medicare coverage status).
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MG - Auc not applicable to order
Long description: The order for this service does not have applicable appropriate use criteria in the qualified clinical decision support mechanism consulted by the ordering professional
Code added date: 20200101.
Code effective date: 20200101.
Coverage Code: C (A code denoting Medicare coverage status).
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MH - Auc consult not provided
Long description: Unknown if ordering professional consulted a clinical decision support mechanism for this service, related information was not provided to the furnishing professional or provider
Code added date: 20200101.
Code effective date: 20200101.
Coverage Code: C (A code denoting Medicare coverage status).
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MS - 6-mo maint/svc fee parts/lbr
Long description: Six month maintenance and servicing fee for reasonable and necessary parts and labor which are not covered under any manufacturer or supplier warranty
Code added date: 19890101.
Code effective date: 19970101.
Coverage Code: C (A code denoting Medicare coverage status).
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N1 - Group 1 oxygen cov crit met
Long description: Group 1 oxygen coverage criteria met
Code added date: 20230101.
Code effective date: 20230101.
Coverage Code: C (A code denoting Medicare coverage status).
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N2 - Group 2 oxygen cov crit met
Long description: Group 2 oxygen coverage criteria met
Code added date: 20230101.
Code effective date: 20230101.
Coverage Code: C (A code denoting Medicare coverage status).
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N3 - Group 3 oxygen cov crit met
Long description: Group 3 oxygen coverage criteria met
Code added date: 20230101.
Code effective date: 20230101.
Coverage Code: C (A code denoting Medicare coverage status).
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NB - Drug specific nebulizer
Long description: Nebulizer system, any type, fda-cleared for use with specific drug
Code added date: 20110101.
Code effective date: 20110101.
Coverage Code: C (A code denoting Medicare coverage status).
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NR - New when rented
Long description: New when rented (use the 'nr' modifier when dme which was new at the time of rental is subsequently purchased)
Code added date: 19840101.
Code effective date: 19970101.
Coverage Code: C (A code denoting Medicare coverage status).
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NU - New equipment
Long description: New equipment
Code added date: 19840101.
Code effective date: 19970101.
Coverage Code: C (A code denoting Medicare coverage status).
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P1 - Normal healthy patient
Long description: A normal healthy patient
Code added date: 20060101.
Code effective date: 20060101.
Coverage Code: C (A code denoting Medicare coverage status).
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