HCPCS code M1209 — >=2 same hi-rsk med w/o diag.
Status: Active.
Effective Jan 1, 2023.
Source: CMS HCPCS Level II.
M1209
Active>=2 same hi-rsk med w/o diag
At least two orders for high-risk medications from the same drug class, (table 4), without appropriate diagnoses
Category:
Medical Services
Section:
M-codes: Medical Services
Effective:
Jan 1, 2023
Code type:
alphanumeric
OPPS Status:
M
— Items / services not billable to the fiscal intermediary or MAC
Change History
Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.
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New Code 2023-Q1>=2 same hi-rsk med w/o diag