HCPCS Service Codes - Medical care

HCPCS Codes for Medical care

• M1420

  Complete ophthalmologic care mips value pathway

• M1421

  Dermatological care mips value pathway

• M1422

  Gastroenterology care mips value pathway

• M1423

  Optimal care for patients with urologic conditions mips value pathway

• M1424

  Pulmonology care mips value pathway

• M1425

  Surgical care mips value pathway

• M1426

  Encounters conducted via telehealth

• M1427

  Documentation of medical reason(s) for performing a bone scan (including documented pain related to prostate cancer, salvage therapy, other medical reasons)

• M1428

  Patients who have bilateral absence of eyes any time during the patient's history through the end of the measurement period

• M1429

  Retinal exam finding with evidence of retinopathy in left, right or both eyes with severity level documented

• M1430

  Retinal exam finding without evidence of retinopathy in both eyes with severity level documented (in measurement year or in the prior year)

• M1431

  Encounters conducted via telehealth

• M1432

  Encounters conducted via telehealth

• M1433

  Patient on oral chemotherapy on or within 30 days before denominator eligible encounter

• M1434

  Patient on oral chemotherapy on or within 30 days after denominator eligible encounter

• M1435

  Patient on oral chemotherapy during the performance period

• M1436

  Encounters conducted via telehealth

• M1437

  Encounters conducted via telehealth

• M1438

  Time last known well to hospital arrival less than or equal to 3.5 hours (<= 210 minutes)

• M1439

  Significant ocular conditions that impact the visual outcome of surgery

• M1440

  Encounters conducted via telehealth

• M1441

  Encounter corresponds to initial diagnosis of sleep apnea or first contact with sleep apnea diagnosed patient

• M1442

  Encounters conducted via telehealth

• M1443

  Encounters conducted via telehealth

• M1444

  Delivery at < 39 weeks of gestation

• M1445

  Postpartum care visit before or at 12 weeks of giving birth

• M1446

  Patients who died any time prior to the end of the measure assessment period

• M1447

  Patients with an active diagnosis of bipolar disorder any time prior to the end of the measure assessment period

• M1448

  Patients with an active diagnosis of personality disorder any time prior to the end of the measure assessment period

• M1449

  Patients with an active diagnosis of schizophrenia or psychotic disorder any time prior to the end of the measure assessment period

• M1450

  Patients who received hospice or palliative care service any time during denominator identification period or the measure assessment period

• M1451

  Patients with an active diagnosis of pervasive developmental disorder any time prior to the end of the measure assessment period

• M1452

  Patient ever had a diagnosis of dementia

• M1453

  Patients with a pre-operative visual acuity better than 20/40

• M1454

  New cied

• M1455

  Replaced or revised cied

• M1456

  Patient had a heart transplant

• M1457

  Patient had a diagnosis of asthma with any contact during the current or prior performance period or had asthma present on an active problem list any time during the performance period

• M1458

  Patient died prior to the end of the performance period

• M1459

  Patient was in hospice or receiving palliative care services at any time during the performance period

• M1460

  Diagnosis for chronic obstructive pulmonary disease, emphysema, cystic fibrosis, or acute respiratory failure

• M1461

  Patient diagnosis for chronic hepatitis c

• M1462

  Patients with clinical indications for imaging of the head

• M1463

  Documentation of at least two attempts to follow up with patient within 180 days of treatment

• M1464

  No documentation of at least two attempts to follow up with patient within 180 days of treatment

• M1465

  Patient follow up more than 180 days after treatment

• M1466

  Patient had a lumbar fusion on the same date as the discectomy/laminectomy procedure

• M1467

  Patients with an existing diagnosis of lynch syndrome

• M1468

  Patient received recommended doses of hepatitis b vaccination based on age

• M1469

  Patient has a history of hepatitis b illness or received a hepatitis b surface antigen, hepatitis b surface antibody, or total antibody to hepatitis b core antigen test with a positive result any time before or during the measurement period