Showing codes M1500 (Neuropsychology mips value pathway) — P4 (A patient with severe systemic disease that is a constant threat to life)
M1500 - Neuropsychology mvp
Long description: Neuropsychology mips value pathway
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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M1501 - Pathology mvp
Long description: Pathology mips value pathway
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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M1502 - Podiatry mvp
Long description: Podiatry mips value pathway
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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M1503 - Vascular surgery mvp
Long description: Vascular surgery mips value pathway
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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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: 20250101.
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: 20250101.
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: 20250101.
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: 20250101.
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: 20250101.
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: 20250101.
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: 20250101.
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: 20250101.
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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P2 - Patient w/mild syst disease
Long description: A patient with mild systemic disease
Code added date: 20060101.
Code effective date: 20060101.
Coverage Code: C (A code denoting Medicare coverage status).
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P2028 - Cephalin floculation test
Long description: Cephalin floculation, blood
Code added date: 19860101.
Code effective date: 19900101.
Pricing Indicator Code(s):
57
; (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: D (A code denoting Medicare coverage status).
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P2029 - Congo red blood test
Long description: Congo red, blood
Code added date: 19860101.
Code effective date: 19900101.
Pricing Indicator Code(s):
57
; (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: D (A code denoting Medicare coverage status).
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P2031 - Hair analysis
Long description: Hair analysis (excluding arsenic)
Code added date: 19860101.
Code effective date: 19890101.
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: M (A code denoting Medicare coverage status).
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P2033 - Blood thymol turbidity
Long description: Thymol turbidity, blood
Code added date: 19860101.
Code effective date: 19900101.
Pricing Indicator Code(s):
57
; (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: D (A code denoting Medicare coverage status).
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P2038 - Blood mucoprotein
Long description: Mucoprotein, blood (seromucoid) (medical necessity procedure)
Code added date: 19860101.
Code effective date: 19930101.
Pricing Indicator Code(s):
21
; (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: D (A code denoting Medicare coverage status).
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P3 - Patient w/severe sys disease
Long description: A patient with severe systemic disease
Code added date: 20060101.
Code effective date: 20060101.
Coverage Code: C (A code denoting Medicare coverage status).
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P3000 - Screen pap by tech w md supv
Long description: Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision
Code added date: 19920101.
Code effective date: 19950101.
Pricing Indicator Code(s):
21
; (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: D (A code denoting Medicare coverage status).
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P3001 - Screening pap smear by phys
Long description: Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician
Code added date: 19920101.
Code effective date: 20020101.
Pricing Indicator Code(s):
11
, 21
; (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: D (A code denoting Medicare coverage status).
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P4 - Pt w/sev sys dis threat life
Long description: A patient with severe systemic disease that is a constant threat to life
Code added date: 20060101.
Code effective date: 20060101.
Coverage Code: C (A code denoting Medicare coverage status).
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