M codes: medical services and quality measures
482 codes, page 2 of 3.
Other codes in this group 200
| Code | Name | Status | Hospitals with prices |
|---|---|---|---|
| HCPCS M1221 | Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist or artificial intelligence (ai) interpretation documented and reviewed; without evidence of retinopathy | Current code | |
| HCPCS M1222 | Glaucoma plan of care not documented, reason not otherwise specified | Current code | |
| HCPCS M1223 | Glaucoma plan of care documented | Current code | |
| HCPCS M1224 | Intraocular pressure (iop) reduced by a value less than 20% from the pre-intervention level | Current code | |
| HCPCS M1225 | Intraocular pressure (iop) reduced by a value of greater than or equal to 20% from the pre-intervention level | Current code | |
| HCPCS M1226 | Iop measurement not documented, reason not otherwise specified | Current code | |
| HCPCS M1227 | Evidence-based therapy was prescribed | Current code | |
| HCPCS M1228 | Patient, who has a reactive hcv antibody test, and has a follow up hcv viral test that detected hcv viremia, has hcv treatment initiated within 3 months of the reactive hcv antibody test | Current code | |
| HCPCS M1229 | Patient, who has a reactive hcv antibody test, and has a follow up hcv viral test that detected hcv viremia, is referred within 1 month of the reactive hcv antibody test to a clinician who treats hcv infection | Current code | |
| HCPCS M1230 | Patient has a reactive hcv antibody test and does not have a follow up hcv viral test, or patient has a reactive hcv antibody test and has a follow up hcv viral test that detects hcv viremia and is not referred to a clinician who treats hcv infection within 1 month and does not have hcv treatment initiated within 3 months of the reactive hcv antibody test, reason not given | Current code | |
| HCPCS M1231 | Patient receives hcv antibody test with nonreactive result | Current code | |
| HCPCS M1232 | Patient receives hcv antibody test with reactive result | Current code | |
| HCPCS M1233 | Patient does not receive hcv antibody test or patient does receive hcv antibody test but results not documented, reason not given | Current code | |
| HCPCS M1234 | Patient has a reactive hcv antibody test, and has a follow up hcv viral test that does not detect hcv viremia | Current code | |
| HCPCS M1235 | Documentation or patient report of hcv antibody test or hcv rna test which occurred prior to the performance period | Current code | |
| HCPCS M1236 | Baseline mrs > 2 | Current code | |
| HCPCS M1237 | Patient reason for not screening for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety (e.g., patient declined or other patient reasons) | Current code | |
| HCPCS M1238 | Documentation that administration of second recombinant zoster vaccine could not occur during the performance period due to the recommended 2-6 month interval between doses (i.e, first dose received after october 31) | Current code | |
| HCPCS M1239 | Patient did not respond to the question of patient felt heard and understood by this provider and team | Current code | |
| HCPCS M1240 | Patient did not respond to the question of patient felt this provider and team put my best interests first when making recommendations about my care | Current code | |
| HCPCS M1241 | Patient did not respond to the question of patient felt this provider and team saw me as a person, not just someone with a medical problem | Current code | |
| HCPCS M1242 | Patient did not respond to the question of patient felt this provider and team understood what is important to me in my life | Current code | |
| HCPCS M1243 | Patient provided a response other than "completely true" for the question of patient felt heard and understood by this provider and team | Current code | |
| HCPCS M1244 | Patient provided a response other than "completely true" for the question of patient felt this provider and team put my best interests first when making recommendations about my care | Current code | |
| HCPCS M1245 | Patient provided a response other than "completely true" for the question of patient felt this provider and team saw me as a person, not just someone with a medical problem | Current code | |
| HCPCS M1246 | Patient provided a response other than "completely true" for the question of patient felt this provider and team understood what is important to me in my life | Current code | |
| HCPCS M1247 | Patient responded "completely true" for the question of patient felt this provider and team put my best interests first when making recommendations about my care | Current code | |
| HCPCS M1248 | Patient responded "completely true" for the question of patient felt this provider and team saw me as a person, not just someone with a medical problem | Current code | |
| HCPCS M1249 | Patient responded "completely true" for the question of patient felt this provider and team understood what is important to me in my life | Current code | |
| HCPCS M1250 | Patient responded as "completely true" for the question of patient felt heard and understood by this provider and team | Current code | |
| HCPCS M1251 | Patients for whom a proxy completed the entire hu survey on their behalf for any reason (no patient involvement) | Current code | |
| HCPCS M1252 | Patients who did not complete at least one of the four patient experience hu survey items and return the hu survey within 60 days of the ambulatory palliative care visit | Current code | |
| HCPCS M1253 | Patients who respond on the patient experience hu survey that they did not receive care by the listed ambulatory palliative care provider in the last 60 days (disavowal) | Current code | |
| HCPCS M1254 | Patients who were deceased when the hu survey reached them | Current code | |
| HCPCS M1255 | 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) | Current code | |
| HCPCS M1256 | Prior history of known cvd | Current code | |
| HCPCS M1257 | Cvd risk assessment not performed or incomplete (e.g., cvd risk assessment was not documented), reason not otherwise specified | Current code | |
| HCPCS M1258 | Cvd risk assessment performed, have a documented calculated risk score | Current code | |
| HCPCS M1259 | Patient status documented within the first year of initiating dialysis | Current code | |
| HCPCS M1260 | Patient status not documented within the first year of initiating dialysis | Current code | |
| HCPCS M1261 | Patients that were on the kidney or kidney-pancreas waitlist prior to initiation of dialysis | Current code | |
| HCPCS M1262 | Patients who had a transplant prior to initiation of dialysis | Current code | |
| HCPCS M1263 | Patients in hospice on their initiation of dialysis date or during the month of evaluation | Current code | |
| HCPCS M1264 | Patients age 75 or older on their initiation of dialysis date | Retired code | |
| HCPCS M1265 | Cms medical evidence form 2728 for dialysis patients: initial form completed | Current code | |
| HCPCS M1266 | Patients admitted to a skilled nursing facility (snf) | Current code | |
| HCPCS M1267 | Patients not observed in active status on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement period | Current code | |
| HCPCS M1268 | Patients observed in active status on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement period | Current code | |
| HCPCS M1269 | Receiving esrd mcp dialysis services by the provider on the last day of the reporting month | Current code | |
| HCPCS M1270 | Patients not on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement period | Current code | |
| HCPCS M1271 | Patients with dementia at any time prior to or during the month | Current code | |
| HCPCS M1272 | Patients observed on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement period | Current code | |
| HCPCS M1273 | Patients who were admitted to a skilled nursing facility (snf) within one year of dialysis initiation according to the cms-2728 form | Current code | |
| HCPCS M1274 | Patients who were admitted to a skilled nursing facility (snf) during the month of evaluation were excluded from that month | Current code | |
| HCPCS M1275 | Patients determined to be in hospice were excluded from month of evaluation and the remainder of reporting period | Current code | |
| HCPCS M1276 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | Current code | |
| HCPCS M1277 | Colorectal cancer screening results documented and reviewed | Current code | |
| HCPCS M1278 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | Current code | |
| HCPCS M1279 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | Current code | |
| HCPCS M1280 | Women who had a bilateral mastectomy or who have a history of a bilateral mastectomy or for whom there is evidence of a right and a left unilateral mastectomy | Current code | |
| HCPCS M1281 | Blood pressure reading not documented, reason not given | Current code | |
| HCPCS M1282 | Patient screened for tobacco use and identified as a tobacco non-user | Current code | |
| HCPCS M1283 | Patient screened for tobacco use and identified as a tobacco user | Current code | |
| HCPCS M1284 | Patients age 66 or older in institutional special needs plans (snp) or residing in long term care with pos code 32, 33, 34, 54, or 56 for more than 90 consecutive days during the measurement period | Current code | |
| HCPCS M1285 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified | Current code | |
| HCPCS M1286 | Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason | Current code | |
| HCPCS M1287 | Bmi is documented below normal parameters and a follow-up plan is documented | Current code | |
| HCPCS M1288 | Documented reason for not screening or recommending a follow-up for high blood pressure | Current code | |
| HCPCS M1289 | Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | Current code | |
| HCPCS M1290 | Patient not eligible due to active diagnosis of hypertension | Current code | |
| HCPCS M1291 | Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period | Current code | |
| HCPCS M1292 | Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and an advanced illness diagnosis during the measurement period or the year prior to the measurement period | Current code | |
| HCPCS M1293 | Bmi is documented above normal parameters and a follow-up plan is documented | Current code | |
| HCPCS M1294 | Normal blood pressure reading documented, follow-up not required | Current code | |
| HCPCS M1295 | Patients with a diagnosis or past history of total colectomy or colorectal cancer | Current code | |
| HCPCS M1296 | Bmi is documented within normal parameters and no follow-up plan is required | Current code | |
| HCPCS M1297 | Bmi not documented due to medical reason or patient refusal of height or weight measurement | Current code | |
| HCPCS M1298 | Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter | Current code | |
| HCPCS M1299 | Influenza immunization administered or previously received | Current code | |
| HCPCS M1300 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | Current code | |
| HCPCS M1301 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | Current code | |
| HCPCS M1302 | Screening, diagnostic, film digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | Current code | |
| HCPCS M1303 | Hospice services provided to patient any time during the measurement period | Current code | |
| HCPCS M1304 | Patient did not receive any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period | Current code | |
| HCPCS M1305 | Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period | Current code | |
| HCPCS M1306 | Patient had anaphylaxis due to the pneumococcal vaccine any time during or before the measurement period | Current code | |
| HCPCS M1307 | Documentation stating the patient has received or is currently receiving palliative or hospice care | Current code | |
| HCPCS M1308 | Influenza immunization was not administered, reason not given | Current code | |
| HCPCS M1309 | Palliative care services provided to patient any time during the measurement period | Current code | |
| HCPCS M1310 | Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both), if identified as a tobacco user | Current code | |
| HCPCS M1311 | Anaphylaxis due to the vaccine on or before the date of the encounter | Current code | |
| HCPCS M1312 | Patient not screened for tobacco use | Current code | |
| HCPCS M1313 | Tobacco screening not performed or tobacco cessation intervention not provided during the measurement period or in the six months prior to the measurement period | Current code | |
| HCPCS M1314 | Bmi not documented and no reason is given | Current code | |
| HCPCS M1315 | Colorectal cancer screening results were not documented and reviewed; reason not otherwise specified | Current code | |
| HCPCS M1316 | Current tobacco non-user | Current code | |
| HCPCS M1317 | Patients who are counseled on connection with a csp and explicitly opt out | Current code | |
| HCPCS M1318 | Patients who did not have documented contact with a csp for at least one of their screened positive hrsns within 60 days after screening or documentation that there was no contact with a csp | Current code | |
| HCPCS M1319 | Patients who had documented contact with a csp for at least one of their screened positive hrsns within 60 days after screening | Current code | |
| HCPCS M1320 | Patients who screened positive for at least 1 of the 5 hrsns | Current code | |
| HCPCS M1321 | Patients who were not seen within 7 weeks following the date of injection for follow up or who did not have a documented iop or no plan of care documented if the iop was >25 mm hg | Current code | |
| HCPCS M1322 | Patients seen within 7 weeks following the date of injection and are screened for elevated intraocular pressure (iop) with tonometry with documented iop =<25 mm hg for injected eye | Current code | |
| HCPCS M1323 | Patients seen within 7 weeks following the date of injection and are screened for elevated intraocular pressure (iop) with tonometry with documented iop >25 mm hg and a plan of care was documented | Current code | |
| HCPCS M1324 | Patients who had an intravitreal or periocular corticosteroid injection (e.g., triamcinolone, preservative-free triamcinolone, dexamethasone, dexamethasone intravitreal implant, or fluocinolone intravitreal implant) | Current code | |
| HCPCS M1325 | Patients who were not seen for reasons documented by clinician for patient or medical reasons (e.g., inadequate time for follow-up, patients who received a prior intravitreal or periocular steroid injection within the last six (6) months and had a subsequent iop evaluation with iop <25mm hg within seven (7) weeks of treatment) | Current code | |
| HCPCS M1326 | Patients with a diagnosis of hypotony | Current code | |
| HCPCS M1327 | Patients who were not appropriately evaluated during the initial exam and/or who were not re-evaluated within 8 weeks | Current code | |
| HCPCS M1328 | Patients with a diagnosis of acute vitreous hemorrhage | Current code | |
| HCPCS M1329 | Patients with a post-operative encounter of the eye with the acute pvd within 2 weeks before the initial encounter or 8 weeks after initial acute pvd encounter | Current code | |
| HCPCS M1330 | Documentation of patient reason(s) for not having a follow up exam (e.g., inadequate time for follow up) | Current code | |
| HCPCS M1331 | Patients who were appropriately evaluated during the initial exam and were re-evaluated no later than 8 weeks from initial exam | Current code | |
| HCPCS M1332 | Patients who were not appropriately evaluated during the initial exam and/or who were not re-evaluated within 2 weeks | Current code | |
| HCPCS M1333 | Acute vitreous hemorrhage | Current code | |
| HCPCS M1334 | Patients with a post-operative encounter of the eye with the acute pvd within 2 weeks before the initial encounter or 2 weeks after initial acute pvd encounter | Current code | |
| HCPCS M1335 | Documentation of patient reason(s) for not having a follow up exam (e.g., inadequate time for follow up) | Current code | |
| HCPCS M1336 | Patients who were appropriately evaluated during the initial exam and were re-evaluated no later than 2 weeks | Current code | |
| HCPCS M1337 | Acute pvd | Current code | |
| HCPCS M1338 | Patients who had follow-up assessment 30 to 180 days after the index assessment who did not demonstrate positive improvement or maintenance of functioning scores during the performance period | Current code | |
| HCPCS M1339 | Patients who had follow-up assessment 30 to 180 days after the index assessment who demonstrated positive improvement or maintenance of functioning scores during the performance period | Current code | |
| HCPCS M1340 | Index assessment completed using the 12-item whodas 2.0 or sds during the denominator identification period | Current code | |
| HCPCS M1341 | Patients who did not have a follow-up assessment or did not have an assessment within 30 to 180 days after the index assessment during the performance period | Current code | |
| HCPCS M1342 | Patients who died during the performance period | Current code | |
| HCPCS M1343 | Patients who are at pam level 4 at baseline or patients who are flagged with extreme straight line response sets on the pam or with excessive missing responses | Current code | |
| HCPCS M1344 | Patients who did not have a baseline pam score and/or a second score within 4 to 12 months of baseline pam score | Current code | |
| HCPCS M1345 | Patients who had a baseline pam score and a second score within 4 to 12 month of baseline pam score | Current code | |
| HCPCS M1346 | Patients who did not have a net increase in pam score of at least 6 points within a 4 to 12 month period | Current code | |
| HCPCS M1347 | Patients who achieved a net increase in pam score of at least 3 points in a 4 to 12 month period (passing) | Current code | |
| HCPCS M1348 | Patients who achieved a net increase in pam score of at least 6-points in a 4 to 12 month period (excellent) | Current code | |
| HCPCS M1349 | Patients who did not have a net increase in pam score of at least 3 points within a 4 to 12 month period | Current code | |
| HCPCS M1350 | Patients who had a completed suicide safety plan initiated, reviewed or updated in collaboration with their clinician (concurrent or within 24 hours) of the index clinical encounter | Current code | |
| HCPCS M1351 | Patients who had a suicide safety plan initiated, reviewed, or updated and reviewed and updated in collaboration with the patient and their clinician concurrent or within 24 hours of clinical encounter and within 120 days after initiation | Current code | |
| HCPCS M1352 | Suicidal ideation and/or behavior symptoms based on the c-ssrs or equivalent assessment | Current code | |
| HCPCS M1353 | Patients who did not have a completed suicide safety plan initiated, reviewed or updated in collaboration with their clinician (concurrent or within 24 hours) of the index clinical encounter | Current code | |
| HCPCS M1354 | Patients who did not have a suicide safety plan initiated, reviewed, or updated or reviewed and updated in collaboration with the patient and their clinician concurrent or within 24 hours of clinical encounter and within 120 days after initiation | Current code | |
| HCPCS M1355 | Suicide risk based on their clinician's evaluation or a clinician-rated tool | Current code | |
| HCPCS M1356 | Patients who died during the measurement period | Current code | |
| HCPCS M1357 | Patients who had a reduction in suicidal ideation and/or behavior upon follow-up assessment within 120 days of index assessment | Current code | |
| HCPCS M1358 | Patients who did not have a reduction in suicidal ideation and/or behavior upon follow-up assessment within 120 days of index assessment | Current code | |
| HCPCS M1359 | Index assessment during the denominator period when the suicidal ideation and/or behavior symptoms or increased suicide risk by clinician determination occurs and a non-zero c-ssrs score is obtained | Current code | |
| HCPCS M1360 | Suicidal ideation and/or behavior symptoms based on the c-ssrs | Current code | |
| HCPCS M1361 | Suicide risk based on their clinician's evaluation or a clinician-rated tool | Current code | |
| HCPCS M1362 | Patients who died during the measurement period | Current code | |
| HCPCS M1363 | Patients who did not have a follow-up assessment within 120 days of the index assessment | Current code | |
| HCPCS M1364 | Calculated 10-year ascvd risk score of >= 20 percent during the performance period | Current code | |
| HCPCS M1365 | Patient encounter during the performance period with hospice and palliative care specialty code 17 | Current code | |
| HCPCS M1366 | Focusing on women's health mips value pathway | Current code | |
| HCPCS M1367 | Quality care for the treatment of ear, nose, and throat disorders mips value pathway | Current code | |
| HCPCS M1368 | Prevention and treatment of infectious disorders including hepatitis c and hiv mips value pathway | Current code | |
| HCPCS M1369 | Quality care in mental health and substance use disorders mips value pathway | Current code | |
| HCPCS M1370 | Rehabilitative support for musculoskeletal care mips value pathway | Current code | |
| HCPCS M1371 | Most recent glycemic status assessment (hba1c or gmi) level < 7.0% | Current code | |
| HCPCS M1372 | Most recent glycemic status assessment (hba1c or gmi) level >= 7.0% and < 8.0% | Current code | |
| HCPCS M1373 | Most recent glycemic status assessment (hba1c or gmi) level >= 8.0% and <= 9.0% | Current code | |
| HCPCS M1374 | An additional encounter with an ra diagnosis during the performance period or prior performance period that is at least 90 days before or after an encounter with an ra diagnosis during the performance period | Current code | |
| HCPCS M1375 | An additional encounter with an ra diagnosis during the performance period or prior performance period that is at least 90 days before or after an encounter with an ra diagnosis during the performance period | Current code | |
| HCPCS M1376 | An additional encounter with an ra diagnosis during the performance period or prior performance period that is at least 90 days before or after an encounter with an ra diagnosis during the performance period | Current code | |
| HCPCS M1377 | Recommended follow-up interval for repeat colonoscopy of 10 years documented in colonoscopy report and communicated with patient | Current code | |
| HCPCS M1378 | Documentation of medical reason(s) for not recommending a 10 year follow-up interval (e.g., inadequate prep, familial or personal history of colonic polyps, patient had no adenoma and age is >= 66 years old, or life expectancy < 10 years, other medical reasons) | Current code | |
| HCPCS M1379 | A 10 year follow-up interval for colonoscopy not recommended, reason not otherwise specified | Current code | |
| HCPCS M1380 | 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" | Current code | |
| HCPCS M1381 | Patients with secondary stroke (e.g., a subsequent stroke that may occur with vasospasm in the setting of subarachnoid hemorrhage) within 5 days of the initial procedure | Current code | |
| HCPCS M1382 | Patient encounter during the performance period with place of service code 11 | Current code | |
| HCPCS M1383 | Acute pvd | Current code | |
| HCPCS M1384 | Patients who died during the performance period | Current code | |
| HCPCS M1385 | Documentation of patient reasons for patients who were not seen for the second pam survey (e.g., less than four months between baseline pam assessment and follow-up | Current code | |
| HCPCS M1386 | Patients with an excisional surgery for melanoma or melanoma in situ in the past 5 years with an initial ajcc staging of 0, i, or ii at the start of the performance period | Current code | |
| HCPCS M1387 | Patients who died during the performance period | Current code | |
| HCPCS M1388 | Patients with documentation of an exam performed for recurrence of melanoma | Current code | |
| HCPCS M1390 | Patients who do not have a documented exam performed for recurrence of melanoma or no documentation within the performance period | Current code | |
| HCPCS M1391 | All patients who were diagnosed with recurrent melanoma during the current performance period | Current code | |
| HCPCS M1392 | Documentation of patient reasons for no examination, i.e., refusal of examination or lost to follow-up (documentation must include information that the clinician was unable to reach the patient by phone, mail or secure electronic mail - at least one method must be documented) | Current code | |
| HCPCS M1393 | Patients who were not diagnosed with recurrent melanoma during the current performance period | Current code | |
| HCPCS M1394 | Stages i-iii breast cancer | Current code | |
| HCPCS M1395 | Patients receiving an initial chemotherapy regimen with a defined duration with the eligible clinician or group | Current code | |
| HCPCS M1396 | Patients on a therapeutic clinical trial | Current code | |
| HCPCS M1397 | Patients with recurrence/disease progression | Current code | |
| HCPCS M1398 | Patients with baseline and follow-up promis surveys documented in the medical record | Current code | |
| HCPCS M1399 | Patients who leave the practice during the follow-up period | Current code | |
| HCPCS M1400 | Patients who died during the follow-up period | Current code | |
| HCPCS M1401 | Stages i-iii breast cancer | Current code | |
| HCPCS M1402 | Patients receiving an initial chemotherapy regimen with a defined duration with the eligible clinician or group | Current code | |
| HCPCS M1403 | Patients with baseline and follow-up promis surveys documented in the medical record | Current code | |
| HCPCS M1404 | Patients on a therapeutic clinical trial | Current code | |
| HCPCS M1405 | Patients with recurrence/disease progression | Current code | |
| HCPCS M1406 | Patients who leave the practice during the follow-up period | Current code | |
| HCPCS M1407 | Patients who died during the follow-up period | Current code | |
| HCPCS M1408 | Patients who have germline brca testing completed before diagnosis of epithelial ovarian, fallopian tube, or primary peritoneal cancer | Current code | |
| HCPCS M1409 | Patients who received germline testing for brca1 and brca2 or genetic counseling completed within 6 months of diagnosis | Current code | |
| HCPCS M1410 | Patients who did not have germline testing for brca1 and brca2 or genetic counseling completed within 6 months of diagnosis | Current code | |
| HCPCS M1411 | Currently on first-line immune checkpoint inhibitors without chemotherapy | Current code | |
| HCPCS M1412 | Patients with metastatic nsclc with epidermal growth factor receptor (egfr) mutations, alk genomic tumor aberrations, or other targetable genomic abnormalities with approved first-line targeted therapy, such as nsclc with ros1 rearrangement, braf v600e mutation, ntrk 1/2/3 gene fusion, met ex14 skipping mutation, and ret rearrangement | Current code | |
| HCPCS M1413 | Patients who had a positive pd-l1 biomarker expression test result prior to the initiation of first-line immune checkpoint inhibitor therapy | Current code | |
| HCPCS M1414 | Documentation of medical reason(s) for not performing the pd-l1 biomarker expression test prior to initiation of first-line immune checkpoint inhibitor therapy (e.g., patient is in an urgent or emergent situation where delay of treatment would jeopardize the patient's health status; other medical reasons/contraindication) | Current code | |
| HCPCS M1415 | Patients who did not have a positive pd-l1 biomarker expression test result prior to the initiation of first-line immune checkpoint inhibitor therapy | Current code | |
| HCPCS M1416 | Patient received hospice services any time during the performance period | Current code | |
| HCPCS M1417 | Patients who are up to date on their covid-19 vaccinations as defined by cdc recommendations on current vaccination | Current code | |
| HCPCS M1418 | Patients who are not up to date on their covid-19 vaccinations as defined by cdc recommendations on current vaccination because of a medical contraindication documented by clinician | Current code | |
| HCPCS M1419 | Patients who are not up to date on their covid-19 vaccinations as defined by cdc recommendations on current vaccination | Current code | |
| HCPCS M1420 | Complete ophthalmologic care mips value pathway | Current code | |
| HCPCS M1421 | Dermatological care mips value pathway | Current code |