Table of content for "Mfn drug add-on, per dose" (HCPCS M1145)
General information on the “M1145” code
HCPCS Code: M1145
Long Description: Most favored nation (mfn) model drug add-on amount, per dose, (do not bill with line items that have the jw modifier)
Short Description: Mfn drug add-on, per dose
Original information is taken from M1145 page
Pricing indicators
Pricing Indicator Code 1: 00 – Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)
Multiple Pricing Indicator Code 9 : Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
Certification and additional reference information
Coverage
Coverage: C – Carrier judgment
Type of service
Berenson-Eggers Type of Service (BETOS): Z2 – Undefined codes
Type Of Service 1: 1 – Medical care
Type Of Service 2: F – Ambulatory surgical center (facility usage for surgical services)
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20210101
Code Effective Date: 20220228
Termination Date: 20220227
Action Code: N – No maintenance for this code