HCPCS code M0201 — Pne flu hepb cov home admin.
Status: Active.
Effective Jan 1, 2024.
Source: CMS HCPCS Level II.
M0201
ActivePne flu hepb cov home admin
Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home
Category:
Medical Services
Section:
M-codes: Medical Services
Effective:
Jan 1, 2024
Code type:
alphanumeric
OPPS Status:
S
— Significant procedure — not subject to multiple procedure reduction
OPPS APC:
9399
MUE — Medically Unlikely Edits
Maximum units of M0201 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.
| Service Type | Max Units / Day |
|---|---|
| Outpatient Hospital | 1 |
| Practitioner Services | 1 |
Source: CMS Medicare NCCI Medically Unlikely Edits
Change History
Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.