HCPCS Level II · Section M
Section M: Medical Services
451 procedure codes. CMS quarterly release — October 2026.
HCPCS Level II codes are updated quarterly by CMS. This listing reflects the October 2026 quarterly release.
| Code | Description | Pricing |
|---|---|---|
| M0001 | Advancing cancer care mvp | 00 |
| M0002 | Opt care kidney hlth mvp | 00 |
| M0004 | Qual care neurologic cnd mvp | 00 |
| M0005 | Value in primary care mvp | 00 |
| M0010 | Eom meos payment | 00 |
| M0075 | Cellular therapy | 00 |
| M0076 | Prolotherapy | 00 |
| M0100 | Intragastric hypothermia | 00 |
| M0201 | Pne flu hepb cov home admin | 54 |
| M0224 | Pemivibart infusion | 54 |
| M0231 | Inf tocilizumab-bavi 1st dos | 54 |
| M0232 | Inf tocilizumab-bavi 2nd dos | 54 |
| M0233 | Intra inf, toci, first dose | 54 |
| M0234 | Intra inf, toci, second dos | 54 |
| M0235 | Intrav inf, mon anti, fir do | 54 |
| M0236 | Intrav inf, mon anti, sec do | 54 |
| M0237 | Intrav inf, toci, first dose | 54 |
| M0238 | Intrav inf, toci, second dos | 54 |
| M0249 | Adm tocilizu covid-19 1st | 54 |
| M0250 | Adm tocilizu covid-19 2nd | 54 |
| M0300 | Iv chelationtherapy | 00 |
| M0301 | Fabric wrapping of aneurysm | 00 |
| M1003 | Tb scr 12 mo pri fst bio dz | 00 |
| M1004 | Doc med rsn no srn tb | 00 |
| M1005 | Tb scr no perf | 00 |
| M1006 | Dz not ases, no rsn | 00 |
| M1007 | >=50% total pt outpt ra enct | 00 |
| M1008 | <50% total pt outpt ra encts | 00 |
| M1009 | Dc eoc doc med rec | 00 |
| M1010 | Dc eoc doc med rec | 00 |
| M1011 | Dc eoc doc med rec | 00 |
| M1012 | Dc eoc doc med rec | 00 |
| M1013 | Dc eoc doc med rec | 00 |
| M1014 | Dc epi care doc medrec | 00 |
| M1016 | Pt dx meop or sur steri | 00 |
| M1018 | Pt dx hst cr pt sk lg cr scr | 00 |
| M1019 | Adl pt mj dep ds rs 12 phq<5 | 00 |
| M1020 | Adl pt mj dep ds no rs 12 mo | 00 |
| M1021 | Pt uc in pp | 00 |
| M1027 | Img head (ct or mri) obtnd | 00 |
| M1028 | Doc of pt prm hda dx and otr | 00 |
| M1029 | Doc sysm rsn img hd | 00 |
| M1032 | Adt tkng pharmthry for oud | 00 |
| M1034 | Adt 180 dys pharmthry oud | 00 |
| M1035 | Adt pd out mat pr 180 dys tx | 00 |
| M1036 | Adt no 180 dys pharmthry oud | 00 |
| M1037 | Pt dx lum sp reg cacr | 00 |
| M1038 | Pt dx lum sp reg fract | 00 |
| M1039 | Pt dx lum sp reg inf | 00 |
| M1040 | Pt dx lum idi or cong scol | 00 |
| M1041 | Pt cr ft inf lm or pt id sl | 00 |
| M1043 | Fs no odi 9-15mo | 00 |
| M1045 | Fs oks 9-15mo >= 37 >= 71 | 00 |
| M1046 | Fs oks 9-15mo < 37 < 71 | 00 |
| M1049 | Fs wth scr no odi pre and p | 00 |
| M1051 | Pt w/cancer scoliosis | 00 |
| M1052 | Lg pn not meas w/ vas 1yr po | 00 |
| M1054 | Pt uc in pp | 00 |
| M1055 | Aspirin used | 00 |
| M1056 | Presc antico med in pp | 00 |
| M1057 | Aspirin not used, no rsn | 00 |
| M1058 | Pt prm nurs hm res in pp | 00 |
| M1059 | Pt no prm nurs hm res in pp | 00 |
| M1060 | Pt died in pp | 00 |
| M1067 | Hspc pt prv time meam per | 00 |
| M1068 | Pt not ambulatory | 00 |
| M1069 | Pt scr ft fall rsk | 00 |
| M1070 | Pt not scrn fut fall no rsn | 00 |
| M1106 | Start eoc doc med rec | 00 |
| M1107 | Docu dx degen neuro | 00 |
| M1108 | Oc ni pt home prog | 00 |
| M1109 | Oc ni pt dc | 00 |
| M1110 | Oc not p pt selfdc | 00 |
| M1111 | Start eoc doc med rec | 00 |
| M1112 | Docu dx degen neuro | 00 |
| M1113 | Oc ni pt home prog | 00 |
| M1114 | Oc ni pt dc | 00 |
| M1115 | Oc ni pt selfdc | 00 |
| M1116 | Start eoc doc med rec | 00 |
| M1117 | Docu dx degen neuro | 00 |
| M1118 | Oc ni pt home prog | 00 |
| M1119 | Oc ni pt dc | 00 |
| M1120 | Oc ni pt selfdc | 00 |
| M1121 | Start eoc doc med rec | 00 |
| M1122 | Docu dx degen neuro | 00 |
| M1123 | Oc ni pt home prog | 00 |
| M1124 | Oc ni pt dc 1-2 vis | 00 |
| M1125 | Oc ni pt selfdc 1-2 vis | 00 |
| M1126 | Start eoc doc med rec | 00 |
| M1127 | Docu dx degen neuro | 00 |
| M1128 | Oc ni pt home prog | 00 |
| M1129 | Oc ni pt dc | 00 |
| M1130 | Oc ni pt selfdc | 00 |
| M1131 | Docu dx degen neuro | 00 |
| M1132 | Oc ni pt home prog | 00 |
| M1133 | Oc ni pt dc | 00 |
| M1134 | Oc ni pt selfdc | 00 |
| M1135 | Start eoc doc med rec | 00 |
| M1141 | Fs no oks | 00 |
| M1142 | Emerge cases | 00 |
| M1143 | Ni rehab med chiro | 00 |
| M1146 | Ongoing care not ind | 00 |
| M1147 | Care not poss med rsn | 00 |
| M1148 | Pt self dschg | 00 |
| M1149 | No neck fs prom incap | 00 |
| M1150 | Lvef <=40% or mod/sev l vsf | 00 |
| M1151 | Pt w/ hx trnsplt or lvad | 00 |
| M1152 | Pt w/ hx trnsplt or lvad | 00 |
| M1153 | Pt w/ dx osteo doe | 00 |
| M1159 | Hospc serv dur meas pd | 00 |
| M1160 | Pt anphx due to mengb bef 13 | 00 |
| M1161 | Pt anphx due to dtp bef 13 | 00 |
| M1162 | Pt enceph due to dtp bef 13 | 00 |
| M1163 | Pt anphx due to hpv bef 13 | 00 |
| M1164 | Pt w/ dementia any time | 00 |
| M1165 | Pt use hspc dur meas pd | 00 |
| M1166 | Path rpt tis spec wle/reexc | 00 |
| M1167 | Hspc dur meas pd | 00 |
| M1168 | Pt recd flu vax 7/1-6/30 | 00 |
| M1169 | Doc med rsn no flu vax | 00 |
| M1170 | Pt w/o flu vax 7/1-6/30 | 00 |
| M1171 | Pt recd 1 td/tdap 9yrs prior | 00 |
| M1172 | Doc med rsn no td/tdap | 00 |
| M1173 | Pt no rec td/tdap 9yrs prior | 00 |
| M1174 | Pt w/ 2 hzv 10/2017 - mp | 00 |
| M1175 | Doc med rsn no hzv | 00 |
| M1176 | No 2 hzv 10/2017-meas pd | 00 |
| M1177 | Pt recd pcv on/aft 19 | 00 |
| M1178 | Doc med rsn no pcv | 00 |
| M1179 | No pcv recd | 00 |
| M1180 | Pt imm ckpt inhib therapy | 00 |
| M1181 | Gr 2 or> dia or gr2 or> col | 00 |
| M1182 | Not elg pre ex ibd/uc/crohn | 00 |
| M1183 | Doc imm ckpt inhib hld | 00 |
| M1184 | Doc med rsn no cst/ist rx | 00 |
| M1185 | Imm ckpt inhib not hld no rx | 00 |
| M1186 | Pt w/ rx for hspc/plltv care | 00 |
| M1187 | Pt w/ esrd | 00 |
| M1188 | Pt w/ ckd stg 5 | 00 |
| M1189 | Doc khe pef w/efgr/uacr | 00 |
| M1190 | Doc khe not pef w/efgr/uacr | 00 |
| M1191 | Hspc svc any time in meas pd | 00 |
| M1192 | Pt w/ dx sq cell ca of esoph | 00 |
| M1193 | Rpts w/ imp/con mmr/msi | 00 |
| M1194 | Med rsn no imp/con mmr/msi | 00 |
| M1195 | Rpt wo imp/con mmr/msi | 00 |
| M1196 | Ixv nrs vrs iqa >=4 | 00 |
| M1197 | Isa reduced >=3 fr ixv | 00 |
| M1198 | Isa not red 3pts /no assess | 00 |
| M1199 | Pt rec'g rrt | 00 |
| M1200 | Ace-i/arb rx | 00 |
| M1201 | Med rsn no ace-i/arb rx | 00 |
| M1202 | Pt rsn no ace-i/arb rx | 00 |
| M1203 | No rsn ace-i/arb rx | 00 |
| M1204 | Ixv nrs vrs iqa >=4 | 00 |
| M1205 | Isa reduced >=3 | 00 |
| M1206 | Isa not red 3pts/no assess | 00 |
| M1207 | Pt scrn sdoh | 00 |
| M1208 | Pt no scrn sdoh | 00 |
| M1209 | >=2 same hi-rsk med w/o diag | 00 |
| M1210 | >=2 same meds tbl4 not ord | 00 |
| M1211 | Gsa level>9.0% | 00 |
| M1212 | Missing gsa not perf | 00 |
| M1213 | No hx spiro prs spiro>=70% | 00 |
| M1214 | Spiro results wth obs doc | 00 |
| M1215 | Med rsn for no doc spiro | 00 |
| M1216 | No spiro doc no res doc | 00 |
| M1217 | Sys rsn no doc spiro | 00 |
| M1218 | Pt copd symptoms | 00 |
| M1220 | Dre wth interp rtnopthy | 00 |
| M1221 | Dre w/o rtnopthy | 00 |
| M1222 | Glaucoma pln of care not doc | 00 |
| M1223 | Glaucoma plan of care doc | 00 |
| M1224 | Iop dec <20% from base | 00 |
| M1225 | Iop dec>=20% from base | 00 |
| M1226 | Iop not doc | 00 |
| M1227 | Eb therapy prescribed | 00 |
| M1228 | Pt + hcv aby +vir w/ rx 3 mo | 00 |
| M1229 | Pt w/ +hcv +vir ref win 1 mo | 00 |
| M1230 | Pt hcv rctv aby no f/u tst | 00 |
| M1231 | Pt hcv tst no reactive res | 00 |
| M1232 | Pt hcv tst reactive result | 00 |
| M1233 | Pt no hcv aby or result | 00 |
| M1234 | Pt hcv rctv aby f/u neg | 00 |
| M1235 | Doc pt hcv aby rna tst | 00 |
| M1236 | Baseline mrs > 2 | 00 |
| M1237 | Pt rsn no scrn | 00 |
| M1238 | Doc 2nd recom hzv 2-6 mo int | 00 |
| M1239 | Pt no resp heard | 00 |
| M1240 | Pt no resp best int | 00 |
| M1241 | Pt no resp seen as person | 00 |
| M1242 | Pt no resp imprt to me | 00 |
| M1243 | Pt othr thn true heard | 00 |
| M1244 | Pt othr thn true best int | 00 |
| M1245 | Pt othr thn true person | 00 |
| M1246 | Pt othr thn true imprt to me | 00 |
| M1247 | Pt resp true best int | 00 |
| M1248 | Pt resp true seen as person | 00 |
| M1249 | Pt resp true imprt to me | 00 |
| M1250 | Pt resp true heard | 00 |
| M1251 | Pts proxy cmplt hu surv | 00 |
| M1252 | Pts no cmplt hu survey | 00 |
| M1253 | Pts hu surv no amb plltv | 00 |
| M1254 | Pts deceased prior hu surv | 00 |
| M1255 | Pts w/ othr rsn vst,+prg tst | 00 |
| M1256 | Prior history of known cvd | 00 |
| M1257 | Cvd risk assess not perf | 00 |
| M1258 | Cvd risk assess perf | 00 |
| M1259 | Pt stat doc <= 1 yr dialysis | 00 |
| M1260 | Pt not doc <= 1 yr dialysis | 00 |
| M1261 | Pts on wtlist bef dialysis | 00 |
| M1262 | Pts transplt bef dialysis | 00 |
| M1263 | Pts hosp dialysis dt | 00 |
| M1265 | Cms 2728 completed | 00 |
| M1266 | Pts admit snf | 00 |
| M1267 | Pt no act kid transplt wtlst | 00 |
| M1268 | Pt ac stat kid trnsplt wtlst | 00 |
| M1269 | Rec'd esrd mcp lst day of mo | 00 |
| M1270 | Pts no kid transplt wtlst | 00 |
| M1271 | Pts dem any time/dur mo | 00 |
| M1272 | Pts kid transplt wtlst | 00 |
| M1273 | Pts snf 1 yr dialysis | 00 |
| M1274 | Pts snf exl mo | 00 |
| M1275 | Pts hosp exl | 00 |
| M1276 | Calc bmi out nrm param nof/u | 00 |
| M1277 | Colorectal ca screen doc rev | 00 |
| M1278 | Pre-htn or htn doc, f/u indc | 00 |
| M1279 | Pre-htn/htn, no f/u, not gvn | 00 |
| M1280 | Bilat mast/hx bi /unilat mas | 00 |
| M1281 | Bp scrn no perf at interval | 00 |
| M1282 | Pt scrn tbco id as non user | 00 |
| M1283 | Pt scrn tbco and id as user | 00 |
| M1284 | Pt 66+ snp or ltc pos > 90d | 00 |
| M1285 | Scrn mam perf rslts not doc | 00 |
| M1286 | Bmi doc onl fup not cmpltd | 00 |
| M1287 | Calc bmi blw low param f/u | 00 |
| M1288 | Doc rsn no hbp scrn or f/u | 00 |
| M1289 | No pt tbco cess interv rng | 00 |
| M1290 | Pt not eli d/t act dig htn | 00 |
| M1291 | Pt 66+ frailty and med dem | 00 |
| M1292 | Pt 66+ frail inpt adv ill | 00 |
| M1293 | Calc bmi abv up param f/u | 00 |
| M1294 | Bp scrn perf rec interval | 00 |
| M1295 | Pt hx tot col or colon ca | 00 |
| M1296 | Calc bmi norm parameters | 00 |
| M1297 | Bmi not doc medrsn ptref | 00 |
| M1298 | Doc pt preg dur msrmt pd | 00 |
| M1299 | Flu immunize order/admin | 00 |
| M1300 | Flu imm no admin doc rea | 00 |
| M1301 | Pt recv tbco cess interv | 00 |
| M1302 | Scrn mam perf rslts doc | 00 |
| M1303 | Hospc serv dur meas pd | 00 |
| M1304 | No pneum vax admin 19+ | 00 |
| M1305 | Pneum vax admin 19+ | 00 |
| M1306 | Pt anphx due to pneum | 00 |
| M1307 | Doc pt pal or hospice | 00 |
| M1308 | Flu immunize no admin | 00 |
| M1309 | Pall serv during meas | 00 |
| M1310 | Pt scr tob & cess int | 00 |
| M1311 | Aphlx to vax bef enc | 00 |
| M1312 | No pt tbco scrn rng | 00 |
| M1313 | No tob scr/cess int | 00 |
| M1314 | Bmi not calculated | 00 |
| M1315 | Crc no doc no rsn | 00 |
| M1316 | Tobacco non-user | 00 |
| M1317 | Pts counsl cpt opt out | 00 |
| M1318 | Pts no csp doc contact | 00 |
| M1319 | Pts csp doc contact | 00 |
| M1320 | Pts scrn + hrsn | 00 |
| M1321 | Pts no 7wk inj,no iop,iop>25 | 00 |
| M1322 | Pts 7wk inj, scrn iop =<25 | 00 |
| M1323 | Pts 7wk inj, scrn iop >25 | 00 |
| M1324 | Pts intravitreal/pci | 00 |
| M1325 | Doc med rsn not seen | 00 |
| M1326 | Pts dx hypotony | 00 |
| M1327 | Pts no eval ini xm no 8 wks | 00 |
| M1328 | Pts dx acute vitreous hem | 00 |
| M1329 | Pts act pvd 2 wks 8 wks | 00 |
| M1330 | Doc pts rsn no f/u xm | 00 |
| M1331 | Pts eval ini xm 8 wks | 00 |
| M1332 | Pts no eval ini xm no 2 wks | 00 |
| M1333 | Acute vitreous hemorrhage | 00 |
| M1334 | Pts act pvd 2 wks 2 wks | 00 |
| M1335 | Doc pts rsn no f/u xm | 00 |
| M1336 | Pts eval ini xm 2 wks | 00 |
| M1337 | Acute pvd | 00 |
| M1338 | Pt f/u 30-180 dys no + imprv | 00 |
| M1339 | Pts f/u 30-180 dys + improv | 00 |
| M1340 | Indx whodas 2.0 or sds | 00 |
| M1341 | Pt no f/u 30-180 dys | 00 |
| M1342 | Pts died perf per | 00 |
| M1343 | Pt pam lvl 4 base or srt lin | 00 |
| M1344 | No bsln/2nd pam score 4-12mo | 00 |
| M1345 | Pt bsln pam, 2nd scr 4-12 mo | 00 |
| M1346 | No pam inc 6 pts 4-12 mo | 00 |
| M1347 | Pt pam incr 3 pt 4-12 mo | 00 |
| M1348 | Pam incr 6 pt 4-12 mo | 00 |
| M1349 | No pam inc 3 pts 4-12 mo | 00 |
| M1350 | Pt w/ suic saf pln init rev | 00 |
| M1351 | Pt cmplt suicd saf pln 120dy | 00 |
| M1352 | Suicd c-ssrs assessment, equ | 00 |
| M1353 | Pts no cmplt suicd saf pln | 00 |
| M1354 | Pt no suicd saf pln 120dy | 00 |
| M1355 | Suicd based cln eval | 00 |
| M1356 | Pt died dur meas pd | 00 |
| M1357 | Pt w/red suic idea 120 days | 00 |
| M1358 | Pts no <suicd idea 120 dys | 00 |
| M1359 | Indx suicd idea, no 0 scr | 00 |
| M1360 | Suicd c-ssrs assessment | 00 |
| M1361 | Suicd based cln eval | 00 |
| M1362 | Pt died dur meas pd | 00 |
| M1363 | Pts no f/u 120 dys | 00 |
| M1364 | Ascvd risk >=20pct | 00 |
| M1365 | Hosp+pall care spec code 17 | 00 |
| M1366 | Focus on women's health mvp | 00 |
| M1367 | Qual care ent disorder mvp | 00 |
| M1368 | Prev trt inf d/o hiv/hep mvp | 00 |
| M1369 | Qualcare mental hlth/sud mvp | 00 |
| M1370 | Rehab support msk care mvp | 00 |
| M1371 | Mst rec gsa<7 | 00 |
| M1372 | Mst rec gsa >=7 and<8 | 00 |
| M1373 | Mst rec gsa >=8 and <=9 | 00 |
| M1374 | Ra dx enc 90 days dur per pd | 00 |
| M1375 | Ra dx enc 90 days dur per pd | 00 |
| M1376 | Ra dx enc 90 days dur per pd | 00 |
| M1377 | Fu colscop 10 yr doc w/ disc | 00 |
| M1378 | Med rsn no 10 yr fu colscope | 00 |
| M1379 | 10 yr fu no rec rsn not giv | 00 |
| M1380 | 2 rx in perf pd any com meds | 00 |
| M1381 | Pt sec strk wthin 5 days | 00 |
| M1382 | Enc dur perf pd pos 11 | 00 |
| M1383 | Acute pvd | 00 |
| M1384 | Pt died dur perf pd | 00 |
| M1385 | Pt rsn not seen 2nd pam | 00 |
| M1386 | Exc sx melmn or mlnm is | 00 |
| M1387 | Pt died dur perf pd | 00 |
| M1388 | Pt doc exm rec melmn | 00 |
| M1390 | Pt no doc exm for rec | 00 |
| M1391 | All pt dx w/ rec mlnm | 00 |
| M1392 | Pt rsn no exm or lst to fu | 00 |
| M1393 | Pr no dx rec mlnm | 00 |
| M1394 | Stg i-iii br ca | 00 |
| M1395 | Init chemo w/def dur ec grp | 00 |
| M1396 | Pt ther clin trial | 00 |
| M1397 | Pt w/ recur/prog | 00 |
| M1398 | Bslne and fu promis doc | 00 |
| M1399 | Pt lve prac | 00 |
| M1400 | Pt died dur perf pd | 00 |
| M1401 | Stg i-iii br ca | 00 |
| M1402 | Init chemo w/def dur ec grp | 00 |
| M1403 | Bslne and fu promis doc | 00 |
| M1404 | Pt ther clin trial | 00 |
| M1405 | Pt w/ recur/prog | 00 |
| M1406 | Pt lve prac | 00 |
| M1407 | Pt died dur perf pd | 00 |
| M1408 | Gmln brca bef dx ca | 00 |
| M1409 | Recd gmln brca1/brca2 couns | 00 |
| M1410 | No gmln brca1/brca2 couns | 00 |
| M1411 | 1st ln ici no chemo | 00 |
| M1412 | Met nsclc w/ egfr alk oth ab | 00 |
| M1413 | Pos pdl1 bef init ici tx | 00 |
| M1414 | Med rsn no pdl1 bef 1st ther | 00 |
| M1415 | No pos pdl1 bef ici ther | 00 |
| M1416 | Pt rec hosp | 00 |
| M1417 | Pt up to date cov | 00 |
| M1418 | Med rsn not up to date cov | 00 |
| M1419 | Pt not up to date cov | 00 |
| M1420 | Complete ophthalmologic mvp | 00 |
| M1421 | Dermatological care mvp | 00 |
| M1422 | Gastroenterology care mvp | 00 |
| M1423 | Opt care urologic cnd mvp | 00 |
| M1424 | Pulmonology care mvp | 00 |
| M1425 | Surgical care mvp | 00 |
| M1426 | Telehealth enc | 00 |
| M1427 | Doc med rsn bone scn | 00 |
| M1428 | Bilateral absence of eyes | 00 |
| M1429 | Retinopathy in od, os, ou | 00 |
| M1430 | Ret exm ou no retinopthy doc | 00 |
| M1431 | Telehealth enc | 00 |
| M1432 | Telehealth enc | 00 |
| M1433 | Oral chemo wthn 30 days enc | 00 |
| M1434 | Orl chemo wthn 30 d post enc | 00 |
| M1435 | Oral chemo in perf pd | 00 |
| M1436 | Telehealth enc | 00 |
| M1437 | Telehealth enc | 00 |
| M1438 | Lst knwn well <=210 min | 00 |
| M1439 | Sig ocu cond imp surg out | 00 |
| M1440 | Telehealth enc | 00 |
| M1441 | Init dx slp apn = 1st enc | 00 |
| M1442 | Telehealth enc | 00 |
| M1443 | Telehealth enc | 00 |
| M1444 | Del < 39 weeks gest | 00 |
| M1445 | Pp care visit by 12 weeks | 00 |
| M1446 | Pt died bef end meas pd | 00 |
| M1447 | Pt dx bd bef end meas pd | 00 |
| M1448 | Pt dx pd bef end meas pd | 00 |
| M1449 | Pt dx scz/pys bef end msr pd | 00 |
| M1450 | Pt hos/pal care dur id/pf pd | 00 |
| M1451 | Pt dx ppd dur id/pf pd | 00 |
| M1452 | Pt dx dementia ever | 00 |
| M1453 | Preop vis acu > 20/40 | 00 |
| M1454 | New cied | 00 |
| M1455 | Rep/rev cied | 00 |
| M1456 | Pt had htx | 00 |
| M1457 | Dx asth dur crnt/prv perf pd | 00 |
| M1458 | Pt died bef end meas pd | 00 |
| M1459 | Pt hosp/pal care dur perf pd | 00 |
| M1460 | Dx copd, cf, or arf | 00 |
| M1461 | Pt dx chron hepc | 00 |
| M1462 | Pt clin ind hd image | 00 |
| M1463 | 2 f/u wthn 180 day rx atmp | 00 |
| M1464 | No record of f/u by 180 days | 00 |
| M1465 | F/u > 180 days after rx | 00 |
| M1466 | Pt disc/lam proc same day | 00 |
| M1467 | Pt dx lynch syn | 00 |
| M1468 | Hep b vaccine received | 00 |
| M1469 | Hx of hep b, or pos bld test | 00 |
| M1470 | Hep b vac not rec'd med rsn | 00 |
| M1471 | Ffs hep b not covered | 00 |
| M1472 | Hep b vaccine not received | 00 |
| M1473 | Pt func cap not allow impr | 00 |
| M1474 | Pt dx dementia | 00 |
| M1475 | Pt dx huntington | 00 |
| M1476 | Pt dx cog imp or ad | 00 |
| M1477 | Dx delirium | 00 |
| M1478 | Psychoactive sub abuse | 00 |
| M1479 | Pt func cap not allow impr | 00 |
| M1480 | Pt func cap not allow impr | 00 |
| M1481 | Pt in hosp/pal care who died | 00 |
| M1482 | Pos quan hep c or qual rna | 00 |
| M1483 | Neg quan hep c or qual rna | 00 |
| M1484 | No rpt hcv rna perf med rsn | 00 |
| M1485 | Neg viro resp hep c/qual rna | 00 |
| M1486 | Pt admitted to snf dur eval | 00 |
| M1487 | Pt adm to hospice dur eval | 00 |
| M1488 | Dx dementia in msr timeframe | 00 |
| M1489 | Pt status doc | 00 |
| M1490 | Pt status not doc | 00 |
| M1491 | Rec'd esrd mcp dur perf pd | 00 |
| M1492 | No reported fall | 00 |
| M1493 | No fall doc med rsn | 00 |
| M1494 | Fall rep since last visit | 00 |
| M1495 | Fall w/ poc, no fall | 00 |
| M1496 | No doc of fall or poc | 00 |
| M1497 | No doc fall med rsn | 00 |
| M1498 | Diagnostic radiology mvp | 00 |
| M1499 | Interventional radiology mvp | 00 |
| M1500 | Neuropsychology mvp | 00 |
| M1501 | Pathology mvp | 00 |
| M1502 | Podiatry mvp | 00 |
| M1503 | Vascular surgery mvp | 00 |
Last reviewed: September 2026