HCPCS Service Codes - Medical care

HCPCS Service Code 1 for Medical care.

HCPCS Type of Service (TOS) code is an indicator that the contractor places on Form CMS-1500. The indicator is mainly used for data purposes, however in some instances, it affects payment. All HCPCS codes have a corresponding TOS indicator.

Below are all available HCPCS TOS codes. Find an HCPCS code based on the type of service.

HCPCS Codes for Medical care

  • J9400

    Injection, ziv-aflibercept, 1 mg

  • J9600

    Injection, porfimer sodium, 75 mg

  • J9601

    Injection, linvoseltamab-gcpt, 1 mg

  • J9999

    Not otherwise classified, antineoplastic drugs

  • M0001

    Advancing cancer care mips value pathways

  • M0002

    Optimal care for kidney health mips value pathways

  • M0003

    Optimal care for patients with episodic neurological conditions mips value pathways

  • M0004

    Quality care for patients with neurological conditions mips value pathway

  • M0005

    Value in primary care mips value pathway

  • M0010

    Enhancing oncology model (eom) monthly enhanced oncology services (meos) payment for eom enhanced services

  • M0064

    Brief office visit for the sole purpose of monitoring or changing drug prescriptions used in the treatment of mental psychoneurotic and personality disorders

  • M0075

    Cellular therapy

  • M0076

    Prolotherapy

  • M0100

    Intragastric hypothermia using gastric freezing

  • M0300

    Iv chelation therapy (chemical endarterectomy)

  • M1000

    Pain screened as moderate to severe

  • M1001

    Plan of care to address moderate to severe pain documented on or before the date of the second visit with a clinician

  • M1002

    Plan of care for moderate to severe pain not documented on or before the date of the second visit with a clinician, reason not given

  • M1003

    Tb screening performed and results interpreted within twelve months prior to initiation of first-time biologic and/or immune response modifier therapy

  • M1004

    Documentation of medical reason for not screening for tb or interpreting results (i.e., patient positive for tb and documentation of past treatment; patient who has recently completed a course of anti-tb therapy)

  • M1005

    Tb screening not performed or results not interpreted, reason not given

  • M1006

    Disease activity not assessed, reason not given

  • M1007

    >=50% of total number of a patient's outpatient ra encounters assessed

  • M1008

    <50% of total number of a patient's outpatient ra encounters assessed

  • M1009

    Discharge/discontinuation of the episode of care documented in the medical record

  • M1010

    Discharge/discontinuation of the episode of care documented in the medical record

  • M1011

    Discharge/discontinuation of the episode of care documented in the medical record

  • M1012

    Discharge/discontinuation of the episode of care documented in the medical record

  • M1013

    Discharge/discontinuation of the episode of care documented in the medical record

  • M1014

    Discharge/discontinuation of the episode of care documented in the medical record

  • M1015

    Discharge/discontinuation of the episode of care documented in the medical record

  • M1016

    Female patients unable to bear children

  • M1017

    Patient admitted to palliative care services

  • M1018

    Patients with an active diagnosis or history of cancer (except basal cell and squamous cell skin carcinoma), patients who are heavy tobacco smokers, lung cancer screening patients

  • M1019

    Adolescent patients 12 to 17 years of age with major depression or dysthymia who reached remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or phq-9m score of less than 5

  • M1020

    Adolescent patients 12 to 17 years of age with major depression or dysthymia who did not reach remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or phq-9m score of less than 5. either phq-9 or phq-9m score was not assessed or is greater than or equal to 5

  • M1021

    Patient had only urgent care visits during the performance period

  • M1022

    Patients who were in hospice at any time during the performance period

  • M1023

    Adolescent patients 12 to 17 years of age with major depression or dysthymia who reached remission at six months as demonstrated by a six month (+/-60 days) phq-9 or phq-9m score of less than five

  • M1024

    Adolescent patients 12 to 17 years of age with major depression or dysthymia who did not reach remission at six months as demonstrated by a six month (+/-60 days) phq-9 or phq-9m score of less than five. either phq-9 or phq-9m score was not assessed or is greater than or equal to five

  • M1025

    Patients who were in hospice at any time during the performance period

  • M1026

    Patients who were in hospice at any time during the performance period

  • M1027

    Imaging of the head (ct or mri) was obtained

  • M1028

    Documentation of patients with primary headache diagnosis and imaging other than ct or mri obtained

  • M1029

    Imaging of the head (ct or mri) was not obtained, reason not given

  • M1030

    Patients with clinical indications for imaging of the head

  • M1031

    Patients with no clinical indications for imaging of the head

  • M1032

    Adults currently taking pharmacotherapy for oud

  • M1033

    Pharmacotherapy for oud initiated after june 30th of performance period

  • M1034

    Adults who have at least 180 days of continuous pharmacotherapy with a medication prescribed for oud without a gap of more than seven days