M1389 : HCPCS Code (2025) : JSON

M1389 : 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) ( Pt rsn no exm )

HCPCS Code : M1389 – JSON Data Format

                    
{
  "HCPCS": {
    "HCPC": "M1389",
    "LongDescription": "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)",
    "ShortDescription": "Pt rsn no exm",
    "PricingIndicators": {
      "PricingIndicator": {
        "PricingIndicatorName": "00",
        "PricingIndicatorCode": "Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)"
      }
    },
    "MPI": "9",
    "MultiplePricingIndicatorCode": "Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')",
    "CIMs": null,
    "MCMs": "",
    "Statute": null,
    "LabCertifications": null,
    "XReferences": null,
    "Coverage": "C",
    "CoverageDescription": "Carrier judgment",
    "ASCPayGrp": null,
    "ASCPayGrpEffDate": null,
    "MOGPayGrp": null,
    "MOGPaymentGroupCode": null,
    "MOGPayInd": null,
    "MOGPaymentPolicyIndicator": null,
    "MOGEffDate": null,
    "ProcNote": null,
    "BETOS": "Z2",
    "BETOSDescription": "Undefined codes",
    "TypeOfServices": {
      "TypeOfService": {
        "TOS": "1",
        "TypeOfServiceCode": "Medical care"
      }
    },
    "AnestBaseUnits": "0",
    "CodeAddDate": "20250101",
    "ActionEffDate": "20250101",
    "TermDate": null,
    "ActionCode": "A",
    "ActionCodeDescription": "Add procedure or modifier code"
  }
}