HCPCS Codes Similar to M1210

HCPCS Codes Similar to “M1210” Code.
At least two orders for high-risk medications from the same drug class, (table 4), not ordered

M1209 At least two orders for high-risk medications from the same drug class, (table 4), without appropriate diagnoses Code added date: 20230101 Code effective date: 20230101 TXT \| PDF \| XML \| JSON	G9367 At least two orders for high-risk medications from the same drug class Code added date: 20150101 Code effective date: 20220101 TXT \| PDF \| XML \| JSON
G9368 At least two orders for high-risk medications from the same drug class not ordered Code added date: 20150101 Code effective date: 20220101 TXT \| PDF \| XML \| JSON	G9187 Bundled payments for care improvement initiative home visit for patient assessment performed by a qualified health care professional for individuals not considered homebound including, but not limited to, assessment of safety, falls, clinical status, fluid status, medication reconciliation/management, patient compliance with orders/plan of care, performance of activities of daily living, appropriateness of care setting; (for use only in the meidcare-approved bundled payments for care improvement initiative); may not be billed for a 30-day period covered by a transitional care management code Code added date: 20131001 Code effective date: 20131001 TXT \| PDF \| XML \| JSON
G9490 Cms innovation center models, home visit for patient assessment performed by clinical staff for an individual not considered homebound, including, but not necessarily limited to patient assessment of clinical status, safety/fall prevention, functional status/ambulation, medication reconciliation/management, compliance with orders/plan of care, performance of activities of daily living, and ensuring beneficiary connections to community and other services. (for use only in medicare-approved cms innovation center models); may not be billed for a 30 day period covered by a transitional care management code Code added date: 20160401 Code effective date: 20180101 TXT \| PDF \| XML \| JSON	G9924 Documentation of medical reason(s) for not providing safety concerns screen or for not providing recommendations, orders or referrals for positive screen (e.g., patient in palliative care, other medical reason) Code added date: 20180101 Code effective date: 20210101 TXT \| PDF \| XML \| JSON
G9987 Bundled payments for care improvement advanced (bpci advanced) model home visit for patient assessment performed by clinical staff for an individual not considered homebound, including, but not necessarily limited to patient assessment of clinical status, safety/fall prevention, functional status/ambulation, medication reconciliation/management, compliance with orders/plan of care, performance of activities of daily living, and ensuring beneficiary connections to community and other services; for use only for a bpci advanced model episode of care; may not be billed for a 30-day period covered by a transitional care management code Code added date: 20181001 Code effective date: 20181001 TXT \| PDF \| XML \| JSON	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" Code added date: 20250101 Code effective date: 20250101 TXT \| PDF \| XML \| JSON
G9507 Documentation that the patient is on a statin medication or has documentation of a valid contraindication or exception to statin medications; contraindications/exceptions that can be defined by diagnosis codes include pregnancy during the measurement period, active liver disease, rhabdomyolysis, end stage renal disease on dialysis and heart failure; provider documented contraindications/exceptions include breastfeeding during the measurement period, woman of child-bearing age not actively taking birth control, allergy to statin, drug interaction (hiv protease inhibitors, nefazodone, cyclosporine, gemfibrozil, and danazol) and intolerance (with supporting documentation of trying a statin at least once within the last 5 years or diagnosis codes for myostitis or toxic myopathy related to drugs) Code added date: 20160101 Code effective date: 20160101 TXT \| PDF \| XML \| JSON	G0323 Care management services for behavioral health conditions, at least 20 minutes of clinical psychologist, clinical social worker, mental health counselor, or marriage and family therapist time, per calendar month. (these services include the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales; behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes; facilitating and coordinating treatment such as psychotherapy, coordination with and/or referral to physicians and practitioners who are authorized by medicare to prescribe medications and furnish e/m services, counseling and/or psychiatric consultation; and continuity of care with a designated member of the care team) Code added date: 20230101 Code effective date: 20240101 TXT \| PDF \| XML \| JSON
M0224 Intravenous infusion, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, who either have moderate-to-severe immune compromise due to a medical condition or receipt of immunosuppressive medications or treatments, includes infusion and post administration monitoring Code added date: 20240322 Code effective date: 20240322 TXT \| PDF \| XML \| JSON	Q0224 Injection, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, and who either have moderate-to-severe immune compromise due to a medical condition or receipt of immunosuppressive medications or treatments, and are unlikely to mount an adequate immune response to covid-19 vaccination, 4500 mg Code added date: 20240322 Code effective date: 20240322 TXT \| PDF \| XML \| JSON
E0200 Heat lamp, without stand (table model), includes bulb, or infrared element Code added date: 19860101 Code effective date: 19960101 TXT \| PDF \| XML \| JSON	E0203 Therapeutic lightbox, minimum 10,000 lux, table top model Code added date: 20030101 Code effective date: 20050101 TXT \| PDF \| XML \| JSON