HCPCS code M1380 — 2 rx in perf pd any com meds. Status: Active. Effective Jan 1, 2025. Source: CMS HCPCS Level II.

M1380

Active

2 rx in perf pd any com meds

Filled at least two prescriptions during the performance period for any combination of the qualifying oral antipsychotic medications listed under "denominator note" or the long-acting injectable antipsychotic medications listed under "denominator note"

Category: Medical Services
Section: M-codes: Medical Services
Effective: Jan 1, 2025
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 2025-Q1
    2 rx in perf pd any com meds