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HCPCS Codes Similar to M1345

HCPCS Codes Similar to “M1345” Code.
Patients who had a baseline pam score and a second score within 4 to 12 month of baseline pam score

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
Code added date: 20240101
Code effective date: 20250101
M1344
Patients who did not have a baseline pam score and/or a second score within 4 to 12 months of baseline pam score
Code added date: 20240101
Code effective date: 20250101
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
Code added date: 20250101
Code effective date: 20250101
M1346
Patients who did not have a net increase in pam score of at least 6 points within a 4 to 12 month period
Code added date: 20240101
Code effective date: 20250101
M1347
Patients who achieved a net increase in pam score of at least 3 points in a 4 to 12 month period (passing)
Code added date: 20240101
Code effective date: 20250101
M1348
Patients who achieved a net increase in pam score of at least 6-points in a 4 to 12 month period (excellent)
Code added date: 20240101
Code effective date: 20250101
M1349
Patients who did not have a net increase in pam score of at least 3 points within a 4 to 12 month period
Code added date: 20240101
Code effective date: 20250101
G9603
Patient survey score improved from baseline following treatment
Code added date: 20160101
Code effective date: 20160101
G9605
Patient survey score did not improve from baseline following treatment
Code added date: 20160101
Code effective date: 20160101
G9876
Two medicare diabetes prevention program (mdpp) core maintenance sessions (ms) were attended by an mdpp beneficiary in months (mo) 7-9 under the mdpp expanded model (em). a core maintenance session is an mdpp service that: (1) is furnished by an mdpp supplier during months 7 through 12 of the mdpp services period; (2) is approximately 1 hour in length; and (3) adheres to a cdc-approved dpp curriculum for maintenance sessions. the beneficiary did not achieve at least 5% weight loss (wl) from his/her baseline weight, as measured by at least one in-person weight measurement at a core maintenance session in months 7-9
Code added date: 20180401
Code effective date: 20180401
G9877
Two medicare diabetes prevention program (mdpp) core maintenance sessions (ms) were attended by an mdpp beneficiary in months (mo) 10-12 under the mdpp expanded model (em). a core maintenance session is an mdpp service that: (1) is furnished by an mdpp supplier during months 7 through 12 of the mdpp services period; (2) is approximately 1 hour in length; and (3) adheres to a cdc-approved dpp curriculum for maintenance sessions. the beneficiary did not achieve at least 5% weight loss (wl) from his/her baseline weight, as measured by at least one in-person weight measurement at a core maintenance session in months 10-12
Code added date: 20180401
Code effective date: 20180401
G9878
Two medicare diabetes prevention program (mdpp) core maintenance sessions (ms) were attended by an mdpp beneficiary in months (mo) 7-9 under the mdpp expanded model (em). a core maintenance session is an mdpp service that: (1) is furnished by an mdpp supplier during months 7 through 12 of the mdpp services period; (2) is approximately 1 hour in length; and (3) adheres to a cdc-approved dpp curriculum for maintenance sessions.the beneficiary achieved at least 5% weight loss (wl) from his/her baseline weight, as measured by at least one in-person weight measurement at a core maintenance session in months 7-9
Code added date: 20180401
Code effective date: 20180401
G9879
Two medicare diabetes prevention program (mdpp) core maintenance sessions (ms) were attended by an mdpp beneficiary in months (mo) 10-12 under the mdpp expanded model (em). a core maintenance session is an mdpp service that: (1) is furnished by an mdpp supplier during months 7 through 12 of the mdpp services period; (2) is approximately 1 hour in length; and (3) adheres to a cdc-approved dpp curriculum for maintenance sessions. the beneficiary achieved at least 5% weight loss (wl) from his/her baseline weight, as measured by at least one in-person weight measurement at a core maintenance session in months 10-12
Code added date: 20180401
Code effective date: 20180401
G9880
The mdpp beneficiary achieved at least 5% weight loss (wl) from his/her baseline weight in months 1-12 of the mdpp services period under the mdpp expanded model (em). this is a one-time payment available when a beneficiary first achieves at least 5% weight loss from baseline as measured by an in-person weight measurement at a core session or core maintenance session
Code added date: 20180401
Code effective date: 20180401