HCPCS 'M' Codes (78)

Medical Services
Code Description
M0064 Brief office visit for the sole purpose of monitoring or changing drug prescriptions used in the treatment of mental psychoneurotic and personality disorders
Terminated December 31, 2014.
M0075 Cellular therapy
M0076 Prolotherapy
M0100 Intragastric hypothermia using gastric freezing
M0300 Iv chelation therapy (chemical endarterectomy)
M0301 Fabric wrapping of abdominal aneurysm
M1000 Pain screened as moderate to severe
M1001 Plan of care to address moderate to severe pain documented on or before the date of the second visit with a clinician
M1002 Plan of care for moderate to severe pain not documented on or before the date of the second visit with a clinician, reason not given
M1003 Tb screening performed and results interpreted within twelve months prior to initiation of first-time biologic disease modifying anti-rheumatic drug therapy for ra
M1004 Documentation of medical reason for not screening for tb or interpreting results (i.e., patient positive for tb and documentation of past treatment; patient who has recently completed a course of anti-tb therapy)
M1005 Tb screening not performed or results not interpreted, reason not given
M1006 Disease activity not assessed, reason not given
M1007 >=50% of total number of a patient's outpatient ra encounters assessed
M1008 <50% of total number of a patient's outpatient ra encounters assessed
M1009 Patient treatment and final evaluation complete
M1010 Patient treatment and final evaluation complete
M1011 Patient treatment and final evaluation complete
M1012 Patient treatment and final evaluation complete
M1013 Patient treatment and final evaluation complete
M1014 Patient treatment and final evaluation complete
M1015 Patient treatment and final evaluation complete
M1016 Female patients unable to bear children
M1017 Patient admitted to palliative care services
M1018 Patients with an active diagnosis or history of cancer (except basal cell and squamous cell skin carcinoma), patients who are heavy tobacco smokers, lung cancer screening patients
M1019 Adolescent patients 12 to 17 years of age with major depression or dysthymia who reached remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or phq-9m score of less than 5
M1020 Adolescent patients 12 to 17 years of age with major depression or dysthymia who did not reach remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or phq-9m score of less than 5. either phq-9 or phq-9m score was not assessed or is greater than or equal to 5
M1021 Patient had only urgent care visits during the performance period
M1022 Patients who were in hospice at any time during the performance period
M1023 Adolescent patients 12 to 17 years of age with major depression or dysthymia who reached remission at six months as demonstrated by a six month (+/-60 days) phq-9 or phq-9m score of less than five
M1024 Adolescent patients 12 to 17 years of age with major depression or dysthymia who did not reach remission at six months as demonstrated by a six month (+/-60 days) phq-9 or phq-9m score of less than five. either phq-9 or phq-9m score was not assessed or is greater than or equal to five
M1025 Patients who were in hospice at any time during the performance period
M1026 Patients who were in hospice at any time during the performance period
M1027 Imaging of the head (ct or mri) was obtained
M1028 Documentation of patients with primary headache diagnosis and imaging other than ct or mri obtained
M1029 Imaging of the head (ct or mri) was not obtained, reason not given
M1030 Patients with clinical indications for imaging of the head
M1031 Patients with no clinical indications for imaging of the head
M1032 Adults currently taking pharmacotherapy for oud
M1033 Pharmacotherapy for oud initiated after june 30th of performance period
M1034 Adults who have at least 180 days of continuous pharmacotherapy with a medication prescribed for oud without a gap of more than seven days
M1035 Adults who are deliberately phased out of medication assisted treatment (mat) prior to 180 days of continuous treatment
M1036 Adults who have not had at least 180 days of continuous pharmacotherapy with a medication prescribed for oud without a gap of more than seven days
M1037 Patients with a diagnosis of lumbar spine region cancer at the time of the procedure
M1038 Patients with a diagnosis of lumbar spine region fracture at the time of the procedure
M1039 Patients with a diagnosis of lumbar spine region infection at the time of the procedure
M1040 Patients with a diagnosis of lumbar idiopathic or congenital scoliosis
M1041 Patient had cancer, fracture or infection related to the lumbar spine or patient had idiopathic or congenital scoliosis
M1042 Functional status measurement with score was obtained utilizing the oswestry disability index (odi version 2.1a) patient reported outcome tool within three months preoperatively and at one year (9 to 15 months) postoperatively
M1043 Functional status measurement with score was not obtained utilizing the oswestry disability index (odi version 2.1a) patient reported outcome tool within three months preoperatively and at one year (9 to 15 months) postoperatively
M1044 Functional status was measured by the oswestry disability index (odi version 2.1a) patient reported outcome tool within three months preoperatively and at one year (9 to 15 months) postoperatively
M1045 Functional status measurement with score was obtained utilizing the oxford knee score (oks) patient reported outcome tool within three months preoperatively and at one year (9 to 15 months) postoperatively
M1046 Functional status measurement with score was not obtained utilizing the oxford knee score (oks) patient reported outcome tool within three months preoperatively and at one year (9 to 15 months) postoperatively
M1047 Functional status was measured by the oxford knee score (oks) patient reported outcome tool within three months preoperatively and at one year (9 to 15 months) postoperatively
M1048 Functional status measurement with score was obtained utilizing the oswestry disability index (odi version 2.1a) patient reported outcome tool within three months preoperatively and at three months (6 to 20 weeks) postoperatively
M1049 Functional status measurement with score was not obtained utilizing the oswestry disability index (odi version 2.1a) patient reported outcome tool within three months preoperatively and at three months (6 to 20 weeks) postoperatively
M1050 Functional status was measured by the oswestry disability index (odi version 2.1a) patient reported outcome tool within three months preoperatively and at three months (6 to 20 weeks) postoperatively
M1051 Patient had cancer, fracture or infection related to the lumbar spine or patient had idiopathic or congenital scoliosis
M1052 Leg pain was not measured by the visual analog scale (vas) within three months preoperatively and at one year (9 to 15 months) postoperatively
M1053 Leg pain was measured by the visual analog scale (vas) within three months preoperatively and at one year (9 to 15 months) postoperatively
M1054 Patient had only urgent care visits during the performance period
M1055 Aspirin or another antiplatelet therapy used
M1056 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 non-steroidal anti-inflammatory agents, drug-drug interaction, uncontrolled hypertension > 180/110 mmhg or gastroesophageal reflux disease
M1057 Aspirin or another antiplatelet therapy not used, reason not given
M1058 Patient was a permanent nursing home resident at any time during the performance period
M1059 Patient was in hospice or receiving palliative care at any time during the performance period
M1060 Patient died prior to the end of the performance period
M1061 Patient pregnancy
M1062 Patient immunocompromised
M1063 Patients receiving high doses of immunosuppressive therapy
M1064 Shingrix vaccine documented as administered or previously received
M1065 Shingrix vaccine was not administered for reasons documented by clinician (e.g. patient administered vaccine other than shingrix, patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons)
M1066 Shingrix vaccine not documented as administered, reason not given
M1067 Hospice services for patient provided any time during the measurement period
M1068 Adults who are not ambulatory
M1069 Patient screened for future fall risk
M1070 Patient not screened for future fall risk, reason not given
M1071 Patient had any additional spine procedures performed on the same date as the lumbar discectomy/laminotomy