Showing codes M1438 (Time last known well to hospital arrival less than or equal to 3.5 hours (<= 210 minutes)) — M1468 (Patient received recommended doses of hepatitis b vaccination based on age)
M1438 - Lst knwn well <=210 min
Long description: Time last known well to hospital arrival less than or equal to 3.5 hours (<= 210 minutes)
Code added date: 20260101.
Code effective date: 20260101.
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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M1439 - Sig ocu cond imp surg out
Long description: Significant ocular conditions that impact the visual outcome of surgery
Code added date: 20260101.
Code effective date: 20260101.
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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M1440 - Telehealth enc
Long description: Encounters conducted via telehealth
Code added date: 20260101.
Code effective date: 20260101.
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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M1441 - Init dx slp apn = 1st enc
Long description: Encounter corresponds to initial diagnosis of sleep apnea or first contact with sleep apnea diagnosed patient
Code added date: 20260101.
Code effective date: 20260101.
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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M1442 - Telehealth enc
Long description: Encounters conducted via telehealth
Code added date: 20260101.
Code effective date: 20260101.
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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M1443 - Telehealth enc
Long description: Encounters conducted via telehealth
Code added date: 20260101.
Code effective date: 20260101.
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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M1444 - Del < 39 weeks gest
Long description: Delivery at < 39 weeks of gestation
Code added date: 20260101.
Code effective date: 20260101.
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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M1445 - Pp care visit by 12 weeks
Long description: Postpartum care visit before or at 12 weeks of giving birth
Code added date: 20260101.
Code effective date: 20260101.
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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M1446 - Pt died bef end meas pd
Long description: Patients who died any time prior to the end of the measure assessment period
Code added date: 20260101.
Code effective date: 20260101.
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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M1447 - Pt dx bd bef end meas pd
Long description: Patients with an active diagnosis of bipolar disorder any time prior to the end of the measure assessment period
Code added date: 20260101.
Code effective date: 20260101.
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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M1448 - Pt dx pd bef end meas pd
Long description: Patients with an active diagnosis of personality disorder any time prior to the end of the measure assessment period
Code added date: 20260101.
Code effective date: 20260101.
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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M1449 - Pt dx scz/pys bef end msr pd
Long description: Patients with an active diagnosis of schizophrenia or psychotic disorder any time prior to the end of the measure assessment period
Code added date: 20260101.
Code effective date: 20260101.
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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M1450 - Pt hos/pal care dur id/pf pd
Long description: Patients who received hospice or palliative care service any time during denominator identification period or the measure assessment period
Code added date: 20260101.
Code effective date: 20260101.
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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M1451 - Pt dx ppd dur id/pf pd
Long description: Patients with an active diagnosis of pervasive developmental disorder any time prior to the end of the measure assessment period
Code added date: 20260101.
Code effective date: 20260101.
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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M1452 - Pt dx dementia ever
Long description: Patient ever had a diagnosis of dementia
Code added date: 20260101.
Code effective date: 20260101.
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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M1453 - Preop vis acu > 20/40
Long description: Patients with a pre-operative visual acuity better than 20/40
Code added date: 20260101.
Code effective date: 20260101.
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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M1454 - New cied
Long description: New cied
Code added date: 20260101.
Code effective date: 20260101.
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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M1455 - Rep/rev cied
Long description: Replaced or revised cied
Code added date: 20260101.
Code effective date: 20260101.
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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M1456 - Pt had htx
Long description: Patient had a heart transplant
Code added date: 20260101.
Code effective date: 20260101.
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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M1457 - Dx asth dur crnt/prv perf pd
Long description: Patient had a diagnosis of asthma with any contact during the current or prior performance period or had asthma present on an active problem list any time during the performance period
Code added date: 20260101.
Code effective date: 20260101.
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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M1458 - Pt died bef end meas pd
Long description: Patient died prior to the end of the performance period
Code added date: 20260101.
Code effective date: 20260101.
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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M1459 - Pt hosp/pal care dur perf pd
Long description: Patient was in hospice or receiving palliative care services at any time during the performance period
Code added date: 20260101.
Code effective date: 20260101.
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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M1460 - Dx copd, cf, or arf
Long description: Diagnosis for chronic obstructive pulmonary disease, emphysema, cystic fibrosis, or acute respiratory failure
Code added date: 20260101.
Code effective date: 20260101.
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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M1461 - Pt dx chron hepc
Long description: Patient diagnosis for chronic hepatitis c
Code added date: 20260101.
Code effective date: 20260101.
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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M1462 - Pt clin ind hd image
Long description: Patients with clinical indications for imaging of the head
Code added date: 20260101.
Code effective date: 20260101.
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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M1463 - 2 f/u wthn 180 day rx atmp
Long description: Documentation of at least two attempts to follow up with patient within 180 days of treatment
Code added date: 20260101.
Code effective date: 20260101.
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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M1464 - No record of f/u by 180 days
Long description: No documentation of at least two attempts to follow up with patient within 180 days of treatment
Code added date: 20260101.
Code effective date: 20260101.
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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M1465 - F/u > 180 days after rx
Long description: Patient follow up more than 180 days after treatment
Code added date: 20260101.
Code effective date: 20260101.
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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M1466 - Pt disc/lam proc same day
Long description: Patient had a lumbar fusion on the same date as the discectomy/laminectomy procedure
Code added date: 20260101.
Code effective date: 20260101.
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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M1467 - Pt dx lynch syn
Long description: Patients with an existing diagnosis of lynch syndrome
Code added date: 20260101.
Code effective date: 20260101.
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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M1468 - Hep b vaccine received
Long description: Patient received recommended doses of hepatitis b vaccination based on age
Code added date: 20260101.
Code effective date: 20260101.
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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PDF