HCPCS code M1255 — Pts w/ othr rsn vst,+prg tst. Status: Active. Effective Jan 1, 2024. Source: CMS HCPCS Level II.

M1255

Active

Pts w/ othr rsn vst,+prg tst

Patients who have another reason for visiting the clinic [not prenatal or postpartum care] and have a positive pregnancy test but have not established the clinic as an ob provider (e.g., plan to terminate the pregnancy or seek prenatal services elsewhere)

Category: Medical Services
Section: M-codes: Medical Services
Effective: Jan 1, 2024
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.

  • New Code 2024-Q1
    Pts w/ othr rsn vst,+prg tst